Hubei Aerospace Hospital, Department of Cerebral Neurology, executive deputy director of the Ma Renzheng: acute cerebral infarction which has a number of typical symptoms, we say basically from so three points to judge We said basically from so three points to judge, the first is to look at the person's facial expression, where cerebral infarction patients are the vast majority of one side of the face without expression, the second point of the vast majority of patients he will be on the side of the limbs of the strength of the decline or hemiplegia, we are the simplest (identification) is to put the patient's two hands are raised, he has a hand after you release, no strength on the natural sagging. The third point, the patient manifested speech disorder, speech is unclear or can not.
In addition, the patient can also be manifested as unclear vision, swallowing difficulties and even unconsciousness, etc. The therapeutic effect of cerebral infarction has a strong time dependence, once found that similar symptoms should be immediately sought medical treatment, the earlier the effect of the treatment, the better, in order to reduce the process of medical treatment, and as soon as possible to help patients with strokes to treat the disease, in recent years, the Hubei Aerospace Hospital has increased the treatment and management of patients with strokes. In recent years, Hubei Aerospace Hospital has increased its efforts in the treatment and management of stroke patients, and in December 2018, it was awarded the "Stroke Prevention and Control Center" and "Stroke Emergency Map Hospital" through the acceptance of the Provincial Health Commission, and has continued to optimize the green channel for emergency stroke treatment.
Hubei Aerospace Hospital Brain Neurology Department Executive Deputy Director Ma Renzheng: Yes, this is our stroke center, equivalent to our green channel, from the beginning of the admission, the stroke center this is our green channel starting point.
Hubei Aerospace Hospital Stroke Center involves rescue room, CT room, intervention room, testing, ultrasound, neurology, neurosurgery and critical care medicine and other related departments, the patient was sent to the hospital stroke center through the 120 ambulance, the first into the stroke green channel, the medical staff will be based on the patient's symptoms of the corresponding emergency work.
Hubei Aerospace Hospital Brain Neurology Executive Deputy Director Ma Renzheng: First of all, to determine the patient's vital signs are not stable, if the patient is already in a state of shock, respiration and blood pressure are not good, that is certainly to be in the rescue room in the rescue, the second step is to determine that the patient is a stroke patient, then our neurologist has taken the thrombolytic box has been waiting for the patient. The neurologist is already waiting here with the thrombolytic box mentioned earlier. After the judgment, the simplest blood sampling and electrocardiogram are done in the rescue room.
After judging the patient as a stroke patient, the medical staff need to carry out a CT examination of the patient to determine whether the patient is an ischemic stroke or a hemorrhagic stroke, different types of stroke, the treatment is different, for ischemic stroke, that is, cerebral infarction patients, the onset of time is within six hours, the patient with the indications of intravenous thrombolysis is the most suitable for intravenous thrombolytic therapy.
Hubei Aerospace Hospital, Executive Deputy Director of the Department of Neurology Ma Renzheng: I am generally accustomed to give an example, people this cerebral infarction ah, as if a piece of paddy field lack of water, when you are in the piece of seedling is not dead, you reopen the road, the water and then past the time, this seedling can still come alive, once after this period of time, the seedling is already dead, then you no matter whether it is reopen the road to past water, or re-rain! The water in the past, or the rain has this water in the past, the seedlings are not alive, so we say that cerebral infarction has a time the earlier it is the better the effect of the treatment.
Intravenous thrombolysis is in the shortest possible time through intravenous drug injections, to achieve thrombolysis, vascular reopening of the purpose of the onset of thrombolysis within six hours of the onset of the effect of the best, after the CT examination, to determine the patient is suitable for intravenous thrombolysis, medical staff will immediately thrombolysis of the patient, as soon as possible to dissolve the thrombus.
Hubei Aerospace Hospital, executive deputy director of the Department of Neurology, Ma Renzheng: Our statistics are this, 1 minute probably died 1.9 million brain cells, so we strive for every minute, this time compressed to a shorter time, more to rescue it (brain cells) function.
The onset of symptoms in the time window (within six hours) or more than the time window but imaging assessment of the value of arterial thrombolysis, the patient needs to use arterial thrombolysis, in the emergency green channel, for such patients, the medical staff will immediately transfer the patient to the intervention room for treatment.
Hubei Aerospace Hospital Department of Neurology Executive Deputy Director Ma Renzheng: arterial thrombolysis is such, we through the micro catheter, micro guide wire so that some of these instruments in the vascular walk, directly to the embolism of the site, to the site of the thrombus, no matter whether it is through the suction, or stent pulling the thrombus, and even can not do it then, we directly arterial thrombolysis, so that the closer the target, the less side effects it will have, and the better it will be, the better the outcome. The closer to the target, the less side effects it will have, the better the effect.
For patients with cerebral infarction, time is life, after the onset of untimely treatment may not only lead to disability, serious and life-threatening, high blood pressure, high blood sugar, high blood lipids, and suffer from cardiovascular and cerebral vascular diseases belong to the cerebral infarction of the high-risk group, although cerebral infarction incidence rate is high, but as long as we improve the bad habits, you can effectively prevent cerebral infarction occurs, then In life, what should we do?
Hubei Aerospace Hospital Department of Neurology Executive Deputy Director Ma Renzheng: There is a high risk of stroke in the population, but he has not yet appeared in the cerebral infarction, such a group of people we call him a first-class prevention, a first-class prevention includes what it is to control some of the risk factors of cerebral infarction, hypertension, high blood sugar, high cholesterol, obesity, or unhealthy dietary habits and so on through these ways to change people's lifestyle habits, and to improve the quality of life. The secondary prevention is mainly for some patients who have already had a cerebral infarction, for this kind of patients, we are in order to prevent him from having another infarction, and give the secondary prevention, the secondary prevention is mainly through the drugs, through changing some habits, control some factors that can be intervened.
Reasonable lifestyle, smoking cessation and alcohol restriction, reasonable diet, appropriate increase in physical activity, regular physical exercise, can achieve the effect of preventing the disease, for high-risk groups, regular medical examination, on-time medication is also an important way to prevent cerebral infarction.