What are the sequelae after brain aneurysm surgery and how to care for them

What are the sequelae after brain aneurysm surgery? How to care for it?

Brain aneurysm is not a tumor as we usually say. It is caused by abnormal development of the arterial wall in the brain, or by brain trauma or arteriosclerosis, which causes the arterial wall to be damaged and bleed, resulting in the appearance of a saccular tumor that bulges outwards on the local blood vessel wall. In recent years, the incidence of aneurysms has been increasing, and it is an emergency in the neurology department. Comedian Zhao Benshan was hospitalized because of a ruptured aneurysm, which led to subarachnoid hemorrhage, or cerebral hemorrhage.

The sequelae after cerebral aneurysm surgery are:

1. Cerebral infarction: Cerebral infarction caused by postoperative thrombosis or thromboembolism is one of the complications of surgery. In severe cases, death may occur due to cerebral artery occlusion and brain tissue ischemia.

2. Aneurysm re-rupture: It is a serious complication of intravascular embolization. It is caused by rapid fluctuations in blood pressure, mechanical stimulation during surgery, and changes in coagulation mechanism due to anticoagulation therapy after surgery, which can lead to aneurysm rupture. The mortality rate increases with age. Patients may suddenly experience mental tension, painful expressions, restlessness, severe headaches, varying degrees of impaired consciousness, and urinary incontinence.

3. Hydrocephalus is the most common complication after aneurysm surgery. Acute hydrocephalus can be solved by external ventricular drainage during surgery, while chronic hydrocephalus requires surgical shunt.

4. Hematoma at the puncture site: Hematoma is prone to occur within 6 hours after surgery due to poor elasticity of arterial vessels, excessive heparin or coagulation mechanism disorders during surgery, frequent movement of the puncture side limb after surgery, and different local compression strengths. The main manifestations are local swelling and bruising.

Patients should eat more fresh fruits and vegetables, which are rich in vitamins, minerals and dietary fiber. Dark vegetables contain more vitamins than light vegetables. In addition to grains, the dietary fiber necessary for the body mainly comes from vegetables and fruits, and can also promote the digestion and absorption of protein in foods such as fish, meat and eggs.