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Home > West Medicine > Surgery > Neurosurgery
I61.902

Hypertensive Intracerebral Hemorrhage

神经外科

Common symptoms

昏迷、驻站医、小脑出血、意识模糊、深昏迷、深感觉障碍、意识障碍、脑叶出血、颅内压增高、感觉障碍

The pathology of disease

Hypertensive intracerebral hemorrhage is spontaneous bleeding into the brain parenchyma, most often in the basal ganglia, thalamus, pons, or cerebellum, due to chronic hypertension and lipohyalinosis of small penetrating arteries. It is a stroke emergency. Clinical: sudden headache, vomiting, focal deficits, decreased consciousness. Treatment: ICU; urgent BP reduction (target ~140 mmHg systolic); reverse coagulopathy; neurosurgical evacuation for cerebellar/large hematomas; manage ICP; secondary stroke prevention (control BP).

Common Symptoms

Sudden headache/vomiting; focal deficits; decreased consciousness; deep location (basal ganglia/thalamus/pons/cerebellum)

Causes and Pathogenesis

Chronic hypertension damages small penetrating arteries, causing rupture and deep parenchymal hemorrhage.

Treatment

ICU; urgent BP reduction; reverse coagulopathy; surgical evacuation for cerebellar/large; manage ICP

Preventive Measures

Strict BP control; secondary stroke prevention.

Department to Visit

It is recommended to visit the Neurology/Neurosurgery-Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.