Core tips
As we all know, people with advanced age, obesity, long-term smoking and drinking and "three highs" (high blood pressure, high blood lipids, and high blood sugar) are at high risk of cerebral infarction. So, is it that without these problems, there will be no cerebral infarction? Hunan Lingzi Xiaowang (pseudonym) gave the answer with personal experience...
▲ Thrombosis blocks the middle cerebral artery.
Xiao Wang, 20 years old, is a native of Loudi, Hunan Province, with a height of 1. 76 meters weighs 75 kilograms, which is a standard body type. Because of his work in coal mining, he often works night shifts. Although he does not smoke or drink, he likes to stay up late and brush his mobile phone to play games. Usually, the diet is also very "heavy", especially like spicy, greasy, additive-rich bagged processed food.
On the afternoon of February 2, 2022, Xiao Wang suddenly felt weak in his left limb at home, his left hand could not be lifted, and his speech became slurred. His family rushed him to the local hospital, and the head CTA examination showed occlusion of the M1 segment of the right middle cerebral artery. At a young age, he actually had a cerebral infarction!
▲Liu Fang, deputy chief physician of the Provincial Medical Interventional Vascular Surgery Department, performed cerebral angiography and thrombotic surgery for Xiao Wang.
After emergency thrombolysis treatment at the local hospital, Xiao Wang's condition improved and he could walk on his own. Just when he and his family thought they could let go of the big stone, the next morning, his condition suddenly worsened, and his left limb could not move. At the suggestion of the local hospital, he was urgently transferred to the interventional vascular surgery ward of Hunan Provincial People's Hospital at about 11:00 a.m. on February 3.
Liu Fangqi, deputy chief physician, led the team to immediately open the green channel and perform cerebral angiography and cerebrovascular luminal embolism for him urgently.
After the operation, Xiao Wang's language fluency was restored, and the left limb could be raised autonomously.
In addition to being happy, Xiao Wang felt very confused, he was so young, his health had been good, he didn't smoke or drink, how could he get a brain infarction?
▲ After the operation, the blood flow of the cerebral arteries is restored.
In this regard, Liu Fangqi, deputy chief physician, said: With the improvement of living standards and lifestyle changes, diseases such as cerebral infarction have shown a trend of rejuvenation. During the Spring Festival holiday of the Year of the Tiger, the Department of Interventional Vascular Surgery of Hunan Provincial People's Hospital admitted more than 10 patients with cerebral infarction under the age of 30. And Xiao Wang's onset this time is not without warning, he has had a systolic blood pressure of more than 140mmHg before, did not take it seriously, did not take any treatment measures, and then did not monitor blood pressure.
▲ After the operation, Xiao Wang's left hand, which could not be moved, could be raised immediately.
Liu Fangqi suggested: young people should change their bad lifestyle, play less mobile phones, try not to stay up late, maintain sufficient and high-quality sleep to improve immunity; adjust the diet structure, refuse junk food, eat more vegetables, fruits, fresh fish and cereals, reduce the intake of saturated fatty acids and cholesterol; pay attention to health examinations, once found that blood pressure and blood sugar are high, they should follow the doctor's instructions to take medicine and improve living habits, and should also monitor blood pressure and blood sugar changes for a long time.
"Time is the key to the treatment of cerebral infarction, every 1 minute delay in thrombolysis, there are about 1.9 million brain cells to die", Liu Fangqi stressed, should grasp the 6-hour golden rescue period, take thrombolysis or surgery and other ways to treat cerebral infarction. The earlier the treatment, the better the clinical effect, and the better the patient's postoperative recovery.
Text: Liang Hui Huang Aizhen
Editor: Liang Hui
Review: Zhou Jinrong