One of the things that you see in a cerebral infarction is that it's not really a cerebral infarction
Accurately, when we find hemiplegia, aphasia, paralysis, and so on, we really need to suspect that it's a stroke. But there are two types of strokes, one is cerebral infarction and the other is cerebral hemorrhage.
Without a brain CT, no one can accurately determine whether it's a cerebral infarction or a cerebral hemorrhage.
Without having studied medicine, I know that a cerebral infarction is a blockage of blood vessels, and it is necessary to open the blood vessels; a cerebral hemorrhage is a blood vessel "bursting", and it is necessary to stop the bleeding. The treatment method is completely contradictory, if it is really a brain hemorrhage, according to the thrombolysis of cerebral infarction, it is certainly worse, the opposite, and can even be said to be legally liable to squat in prison.
So, all suspected strokes, that is, all stroke patients, to the hospital must do brain CT to further clarify whether it is a cerebral infarction or cerebral hemorrhage, and then only know how to treat.
Two, infusion is the treatment, but divided into 2 kinds of cases
If the diagnosis is cerebral infarction, then the next step is to immediately rescue treatment, open blood vessels. The method of opening the blood vessels is just to transfuse the thrombolytic or thrombus treatment.
But I am sorry to say that there are very few hospitals that can carry out thrombolysis, so many patients with cerebral infarction will not be sent to the operating room for thrombolysis even after diagnosis.
Some people must say, "We're going to have to do some thrombolysis," he said!
That's right, thrombolysis is the infusion of fluids to "dissolve" the thrombus to restore vascular blood flow; but it is so "everyone seems simple" infusion of thrombolysis, most hospitals, for a variety of reasons are not carried out, one of the main reasons One of the main reasons is that the thrombolysis is considered to have the risk of bleeding, do not dare to thrombolysis.
Then to the hospital infusion, there are two possibilities, one is non-thrombolytic routine infusion, in other words, there is no treatment to open the blood vessels, just symptomatic treatment. Then this kind of infusion really doesn't do much good in terms of improving the survival rate of the patient, reducing the disability rate of the patient, and so on.
Only after the first time thrombolysis or thrombus removal and opening the blood vessels, can we effectively save more lives of patients with cerebral infarction, reduce the mortality rate, and reduce the occurrence of sequelae.
Three, the opening of blood vessels is very important, but also the only correct approach
1, the golden 3-6 hours should not be missed, thrombolysis is the most convenient and feasible
Cerebral infarction occurs more than 5 minutes, nerve cells will be irreversibly damaged. If you can quickly restore blood flow to the ischemic hemidiaphragm within a short period of time, part of the brain tissue function can be reversible, and nerve cells can survive and regain function. Currently it is considered best to be brought to the hospital within 3 hours, no more than 4.5 hours, and more than 6 hours at the latest. So every second must count in the event of a stroke, and you'll be lucky if you arrive at a hospital that can dissolve a thrombus.
This method of opening blood vessels, in fact, in the eyes of the people is the infusion, only the infusion of drugs is thrombolytic drugs, but it seems to be the infusion, but thrombolytic infusion will have a systemic bleeding or cerebral hemorrhage.
2, thrombosis technical difficulties, many hospitals do not carry out
The anterior circulation occlusion of cerebral infarction within 6 hours of the onset of the patient, emergency mechanical thrombosis treatment.
The American guidelines state that patients with acute cerebral infarction caused by occlusion of the anterior large arteries within 6 hours of the onset of the disease can undergo emergency mechanical thrombolysis.
European organization guidelines recommend emergency mechanical thrombolysis in addition to intravenous thrombolysis within 4.5 hours for patients with anterior circulation occlusion within 6 hours of onset.
Simply put, it is to put a tube from the thigh root blood vessels to progress to the large brain blood vessels, with a special device, the thrombus to drag out. This requires more hospital equipment, higher level of doctors, and is risky.
Four, regular early open blood vessels can reduce mortality, reduce sequelae, but can not be 100% avoided
Cerebrovascular disease survivors left paralysis, aphasia and other serious disabilities accounted for 50-70%, partly because of China's thrombolysis hospitals are too few, the hospitals to remove the thrombus is even fewer. Part of the reason is that there are too few hospitals in China that perform thrombolysis and even fewer hospitals that remove thrombus. Many patients do not receive vascularization treatment, but only conventional symptomatic treatment, which, for example, leads to a huge number of sequelae. But even if you can open the blood vessels of this part of the people, but also because the area is too large, or open the blood vessels late, thus leading to sequelae.
So to 100% avoid the sequelae of cerebral infarction, to avoid aphasia, hemiplegia, hemiplegia, long-term bedridden, eating, drinking, shitting and urinating have to be waited for, then the only way is prevention.
Staying away from tobacco and alcohol, adhering to exercise, controlling body weight, eating a low-salt, low-oil and low-sugar diet, avoiding staying up late, reducing stress, monitoring three highs and controlling three highs are the most basic, fundamental, effective and inexpensive ways to prevent cerebral infarction!
Finally, I still want to tell you, after the stroke, to the hospital must be shot CT, or how to know whether it is a cerebral infarction or cerebral hemorrhage; as for the infusion of fluids, there are two possibilities, one is to open the blood vessels of the approach, which is the best; one is symptomatic treatment.