Patient's question:
Today every afternoon I cry, crying for hours, waking up very early in the morning, not sleeping during the day. Just a few days ago, I was diagnosed with pneumonia and recently discharged from the hospital. Afternoon crying, crying non-stop. A head CT showed mild brain atrophy. Previous treatment and outcomes: Let...Doctor's answer:
Here is the English translation of the provided text, with line breaks retained as they are:Your condition shows that as long as the expectation for effective treatment is understood, there is still a great potential for recovery.
(1) Standard treatment generally solves the issue;
① Always maintain calmness, stay in bed absolutely, and receive treatment locally. Avoid long-distance transportation and excessive movement to prevent skin tearing.
② Always keep the airway clear, and remove oral secretions or vomit at any time. Provide appropriate oxygenation, preferably through intermittent use.
③ Always maintain nutritional and electrolyte balance.
(2) Control cerebral edema and reduce intracranial pressure.
(3) Control high blood pressure and lower elevated blood pressure to prevent further skin tearing. However, avoid lowering blood pressure too much to prevent insufficient blood supply. Generally, it is advisable to maintain a range of 20.0~21.3/12.0~13.3 kPa (150~160/90~100 mmHg).
(4) Hemostatic and coagulant drugs are ineffective for cerebral hemorrhage, but they can still be used if there is gastrointestinal bleeding or coagulation disorders.
(5) Prevention and treatment of complications: Patients with severe conditions should receive enhanced basic care, including regular and gentle repositioning, attention to skin dryness and cleanliness, prevention of bedsores and lung infections. For limbs that have collapsed, maintain them in a functional position, perform massages, and encourage weak movements to prevent joint contractures.
3. Surgical treatment
4. Traditional Chinese Medicine, acupuncture, and massage therapy, when used in combination, can achieve certain effects in treatment and recovery.