What examination should cardiovascular and cerebrovascular diseases do?

For patients with acute cerebrovascular disease, we should not only make a clear diagnosis, but also understand the problems and complications related to its onset, treatment and prognosis. Generally speaking, the following checks should be done frequently:

1, general items such as blood routine, urine routine, platelet, bleeding coagulation time, prothrombin time, fibrinogen, blood lipid, blood sugar and other hemorheological items, and check erythrocyte sedimentation rate, liver function, renal function and electrocardiogram as needed to guide medication. 2. Spinal puncture can be performed when cerebrospinal fluid examination suspects subarachnoid hemorrhage and brain CT examination is normal. It is necessary to measure the pressure of cerebrospinal fluid and send it for routine and cytological examination. 3. Special examination 1) Brain CT examination should be the first choice to diagnose bleeding or infarction in time; The location and scope of hematoma or infarction; 2) In order to understand the stenosis or occlusion of cerebral vessels and the causes of subarachnoid hemorrhage, and to prepare for interventional therapy or surgical treatment, it is best to do cerebral angiography or digital subtraction angiography (DSA); You can also choose brain CTA or MRA for screening first. 3) Brain MRI examination shows that patients with cerebral infarction are more clear, and those who suspect cerebellum and brain stem lesions should be the first choice.