At 11 p.m., with the sharp whistle of the ambulance, a middle-aged woman was urgently carried into the emergency department for more than 2 hours due to sudden weakness in her left limb and unclear speech.
Cranial CT results show occlusion of the right internal carotid artery and large cerebral infarction on the right side. Since it is still within the thrombolytic time window, doctors and family members recommend thrombolytic therapy for patients. Unexpectedly, the family refused thrombolytic therapy after listening to the doctor explain the necessity and risks of thrombolytic therapy!
The doctor had no choice but to take conservative treatment, but soon the patient died due to a large-scale cerebral infarction, cerebral hernia formation, and respiratory failure. This is another tragedy caused by the lack of medical knowledge, even the doctors have sighed continuously, this patient is not very old, but lost his precious life due to cerebral infarction, cerebral infarction patients have at least 3 opportunities to reverse their fate, if they are not seized, it will lead to tragedy!
Opportunity one: Prevention period
For most people, the occurrence of cerebral infarction is a long-term gradual evolutionary process, which may be years and decades or decades. Whether it is cerebral infarction or cerebral hemorrhage, we can collectively call it cerebrovascular accident, as the name suggests, it is related to cerebrovascular.
Over time, atherosclerotic plaques gradually appear in the blood vessels, and the plaques will rupture, causing platelets to accumulate to form a clumps of blood clots, and the detachment of the appendage thrombus will occur with the flow of blood to distant vessels, such as cerebral blood vessels, and cerebral infarction will occur. The size and speed of plaque formation mainly depends on our daily life style and the prevention of basic diseases, especially the three highs (hypertension, hyperlipidemia, and hyperglycemia), so if you want to prevent cerebral infarction, you must maintain a healthy lifestyle and try to delay the appearance of atherosclerotic plaques.
Opportunity two: Acute phase
The occurrence of cerebral infarction often catches patients and their families off guard, but whether the treatment is timely or not will affect the patient's life and sequelae. At present, timely thrombolytic or thrombolytic therapy is internationally recognized as the most effective method for the treatment of acute cerebral infarction, but thrombolytic therapy has a very strict time limit, that is, it is necessary to divide the time of onset into 3 hours, 4.5 hours and 6 hours within 3 different time windows, so as to select different drugs for thrombolysis. Beyond these time windows, not only will the treatment effect be greatly reduced, but the risk of bleeding will also be greatly increased, and the most skilled doctors will be powerless.
Opportunity three: The recovery period
Cerebral infarction can leave behind limb weakness or paralysis, or language impairment, which greatly affects the patient's quality of life in the future, which is the result of impaired nerve function after cerebral infarction. However, it is regrettable that there is no drug at home and abroad that has a definite effect to restore nerve function, so rehabilitation treatment is currently the most effective way to restore the function of patients with cerebral infarction.
Guidelines at home and abroad recommend that patients with cerebral infarction should start rehabilitation treatment as early as possible as long as the condition allows, and the most effective time of rehabilitation treatment is within 6 months after the onset of cerebral infarction, and systematic rehabilitation treatment is carried out during this period, and the patient's function is restored to the greatest chance.
In addition, after the rehabilitation of cerebral infarction, it is also necessary to insist on taking antiplatelet drugs such as aspirin, lipid-regulating drugs such as statins, and there are three higher underlying diseases that should also be standardized for drug treatment control indicators.
In short, for every cerebral infarction patient will have these 3 opportunities, even if the first opportunity is missed, as long as they actively face the 2nd and 3rd opportunities, there is still a possibility of recovery, so the opportunity is in front of every cerebral infarction patient, it depends on whether they can catch it!
bibliography:
[1] Guidelines for venous thrombolysis in emergency ischemic stroke in China
[2] Guidelines for Early Rehabilitation of Stroke in China
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