Accurately speaking, when we find hemiplegia, aphasia, hemiplegia and so on, we really suspect a stroke. But there are two kinds of strokes, one is cerebral infarction and the other is cerebral hemorrhage.
Before brain CT, no one can accurately judge whether it is cerebral infarction or cerebral hemorrhage.
Those who have never studied medicine know that cerebral infarction is a blood vessel blockage, and they should "promote blood circulation" to dredge blood vessels; Cerebral hemorrhage is a "burst" of blood vessels, so stop bleeding. The treatment method is completely contradictory. If it is really cerebral hemorrhage, thrombolysis according to cerebral infarction will definitely add insult to injury, which is completely different. You can even say that you will bear legal responsibility and go to jail.
Therefore, all suspected stroke patients, that is, all stroke patients, must go to the hospital for brain CT to further clarify whether it is cerebral infarction or cerebral hemorrhage, and then know how to treat it.
Second, infusion is a treatment, but there are two situations.
If the diagnosis is cerebral infarction, then the next step is to rescue and treat immediately and open blood vessels. The way to open blood vessels is nothing more than infusion, thrombolysis or embolectomy.
However, we must regret to tell you that there are very few hospitals that can carry out embolectomy technology, so many patients with cerebral infarction will not be sent to the operating room to get embolectomy even if they are diagnosed.
Then everyone must say, then go to thrombolysis!
Yes, thrombolysis is to "melt" blood clots and restore blood flow through infusion; However, it is such a "seemingly simple" infusion thrombolysis that most hospitals have not carried out for various reasons. One of the main reasons is that they think thrombolysis has the risk of bleeding and dare not thrombolysis.
Then there are two possibilities for infusion in the hospital. One is routine infusion without thrombolysis. In other words, there is no treatment to open blood vessels, only symptomatic treatment. Then this kind of infusion is really bad for improving the survival rate of patients and reducing the disability rate of patients.
Only by dissolving or removing thrombus and opening blood vessels at the first time can we effectively save the lives of more patients with cerebral infarction, reduce the mortality rate and reduce the occurrence of sequelae.
Third, it is very important and the only correct way to open blood vessels.
1, gold 3-6 hours don't miss, thrombolysis is the most convenient and feasible.
More than 5 minutes after cerebral infarction, nerve cells will be irreversibly damaged. If the blood flow in ischemic penumbra can be quickly restored in a short time, the function of some brain tissues can be reversed, so that nerve cells can survive and recover their functions. At present, it is considered that it is best to be sent to the hospital within 3 hours, not more than 4.5 hours, and not more than 6 hours at the latest. Therefore, every minute counts when a stroke occurs. You are lucky if you can get to a hospital where thrombolysis can be performed.
This method of opening blood vessels is actually infusion in the eyes of ordinary people, but the drug for infusion is thrombolytic medicine, but it seems to be infusion, but thrombolytic infusion will lead to systemic bleeding or cerebral hemorrhage.
2. It is very difficult to take out the bolt, and many hospitals don't do it.
Emergency mechanical embolectomy was performed in patients with anterior circulation occlusive cerebral infarction within 6 hours of onset.
American guidelines point out that patients with acute cerebral infarction caused by anterior circulation artery occlusion within 6 hours of onset can undergo emergency mechanical embolectomy.
European organization guidelines recommend that patients with anterior circulation artery occlusion within 6 hours of onset can be treated with intravenous thrombolysis combined with emergency mechanical embolectomy within 4.5 hours.
Simply put, it is to insert a tube into the blood vessel at the root of the thigh to make progress and drag out the thrombus with a special device. This requires a higher level of hospital equipment and doctors, and it is also risky.
4. Early opening of blood vessels on a regular basis can reduce mortality and sequelae, but 65,438+0,000% cannot be avoided.
50%-70% of the survivors of cerebrovascular diseases are left with severe disabilities such as paralysis and aphasia, partly because there are too few hospitals in China to carry out thrombolysis and even fewer hospitals to take thrombi. For example, many patients did not receive vascular treatment, but only conventional symptomatic treatment, which led to a large number of sequelae. But even if these people can open blood vessels, the area is too large, or the blood vessels are opened late, leading to sequelae.
So 100% can avoid sequelae of cerebral infarction, aphasia, hemiplegia, hemiplegia, long-term bed rest, eating and drinking, and the only way is to prevent it.
Stay away from alcohol and tobacco, keep exercising, control your weight, eat a low-salt low-oil low-sugar diet, avoid staying up late, relieve stress, monitor and control the three highs, which are the most basic, fundamental, effective and cheapest ways to prevent cerebral infarction!
Finally, I still want to tell you that after a stroke, you must have a CT scan when you go to the hospital. Otherwise, how can you know whether it is cerebral infarction or cerebral hemorrhage? As for infusion, there are two possibilities, one is to open blood vessels, which is the best; One is symptomatic treatment.