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　　高血壓(30%)：在腦出血病人中，有90%的病人患有高血壓，從心血管方面研究發(fā)現(xiàn)，有1/3～2/3的高血壓病人最終均要發(fā)生腦出血;高血壓病長(zhǎng)期不進(jìn)行降壓治療者，10年以后半數(shù)以上發(fā)生腦出血，因此，高血壓病是原發(fā)性腦出血的最主要原因，在高血壓腦動(dòng)脈硬化的基礎(chǔ)上，當(dāng)情緒劇烈波動(dòng)或體力活動(dòng)過度時(shí)，瞬時(shí)血壓增高，即可引起腦血管破裂導(dǎo)致腦出血，而高血壓動(dòng)脈硬化是老年人群中的多發(fā)病，故腦出血也是老年人的多發(fā)病之一，</p><p> 　　腦源性臟器損傷(15%)：急性腦出血可以間接或直接損害丘腦下部，繼發(fā)性引起神經(jīng)內(nèi)分泌功能障礙，導(dǎo)致各臟器功能損害;損害腦干者，引起迷走神經(jīng)功能障礙，直接導(dǎo)致內(nèi)臟功能損害，因此，腦出血在急性期可出現(xiàn)急性肺水腫，急性心肌缺血或梗死，急性胰腺功能損害引起血糖明顯升高，腎功能損害，胃應(yīng)激性潰瘍致胃出血等，嚴(yán)重者可出現(xiàn)多臟器功能衰竭，由于急性腦病引起的多臟器功能衰竭稱之為腦源性多臟器衰竭，這方面引起的死亡占腦出血的25%，積極防治腦源性多臟器功能衰竭，可以有效地降低腦出血的病死率。</p><p> 　　感染(15%)：由于急性腦出血損害皮質(zhì)和丘腦下部的神經(jīng)功能，導(dǎo)致神經(jīng)免疫功能紊亂，加上因嚴(yán)重癱瘓，意識(shí)障礙及延髓性麻痹等，共同引起以肺部為主的感染。</p><p> 　　發(fā)熱(10%)：許多病人在發(fā)生腦出血后，即刻出現(xiàn)發(fā)熱，甚至高熱，這是因?yàn)槟X出血損及體溫調(diào)節(jié)中樞所至。</p><h2> 　　老人腦出血的治療</h2><p> 　　保持安靜，盡量避免搬動(dòng)和不必要的檢查：原則上就地治療，一般認(rèn)為腦出血發(fā)病后需完全臥床，環(huán)境安靜，謝絕探視，避免任何活動(dòng)，某些因各種不良刺激引起躁動(dòng)不安者，需針對(duì)具體情況消除不良刺激，降低顱壓，導(dǎo)尿等，可適當(dāng)使用鎮(zhèn)靜劑以加強(qiáng)大腦的保護(hù)性抑制，減輕由出血給整個(gè)大腦帶來的損傷，常用的鎮(zhèn)靜劑有地西泮(安定)，苯海拉明等，但應(yīng)禁用嗎啡，哌替啶(杜冷丁)等呼吸抑制劑。</p><p> 　　保持呼吸道通暢：及時(shí)吸痰，間歇吸入含氧空氣，意識(shí)障礙，呼吸不暢者及早采用插管或氣管切開術(shù)，保持呼吸道暢通是搶救成敗的關(guān)鍵所在。</p><p> 　　嚴(yán)密觀察，加強(qiáng)護(hù)理：按病情輕重緩急，定時(shí)觀察意識(shí)，瞳孔，體溫，脈搏，呼吸和血壓，定期翻身，吸痰，清理大小便和衣褥，保持患肢的功能位置等良好的基本護(hù)理。</p><p> 　　綜合治療：由于腦血管疾病時(shí)腦組織的損傷是由多種因素所致，其次腦血管疾病發(fā)生時(shí)機(jī)體會(huì)出現(xiàn)一系列病理改變，因此，高壓氧治療只是腦血管疾病綜合治療的手段之一，目前國(guó)內(nèi)外有大量的有關(guān)文獻(xiàn)報(bào)道，都強(qiáng)調(diào)綜合治療，即在常規(guī)治療和護(hù)理的基礎(chǔ)上，實(shí)施高壓氧治療。</p><h2> 　　老人腦出血吃什么好</h2><p> 　　1、要多吃新鮮蔬菜和水果</p><p> 　　因其中含維生素C和鉀、鎂等。維生素C可降低膽固醇，增強(qiáng)血管的致密性，防止出血，鉀、鎂對(duì)和因管有保護(hù)作用。</p><p> 　　2、可多吃上結(jié)含碘豐富的食物</p><p> 　　如海帶、紫菜、蝦米等，碘可減少膽固醇在動(dòng)脈壁沉積，防止動(dòng)脈硬化的發(fā)生。</p><p> 　　3、長(zhǎng)期飲用混合奶</p><p> 　　(鮮牛奶600毫升，濃米湯350毫升，雞蛋2個(gè)，白糖50克，香油10克，以及鹽3克)</p><p> 　　4、為預(yù)防便秘，應(yīng)多吃一些富含纖維的食物</p><p> 　　如青菜﹑芹菜﹑韭菜及水果等。</p><p> 　　5、要維持體內(nèi)有充足的水</p><p> 　　使血液稀釋。晚餐要清淡。晚睡前﹑晨起時(shí)，飲1～2杯溫開水。</p><p> 　　6、飲食中應(yīng)有適當(dāng)?shù)鞍踪|(zhì)</p><p> 　　常吃些蛋清、瘦肉、魚類和各種豆類及豆制品，以供給身體所需要的氨其酸。</p><hr /><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 猜你喜歡：</p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 1.<a _ target="_blank">腦出血后記憶力減退怎么辦</a></p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 2.<a _href="http://www.rzpgrj.com/jiankang/jibing/3704821.html" href="http://www.rzpgrj.com/jiankang/jibing/3704821.html" target="_blank">發(fā)現(xiàn)老年人腦梗后的處理辦法有哪些</a></p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 3.<a _href="http://www.rzpgrj.com/yangsheng/shengongnen/51028.html" href="http://www.rzpgrj.com/yangsheng/shengongnen/51028.html" target="_blank">86歲老年人腎功能衰竭的治療</a></p><p 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