Recently, 51-year-old Mr. Wu returned to his hometown in Sichuan from Guangzhou, and when he was waiting for the train at Guangzhou South Railway Station, he suddenly had weakness and slurred speech on his right side, and because the symptoms quickly eased, he did not pay attention to it.
Unbeknownst to him, a few minutes later, he intermittently appeared to have weakness and slurred speech on his right side. The symptoms recurred, and the last time they could not be relieved, the fellow workers saw the situation and immediately sent them to the emergency department of the nearby Guangdong Qifu Hospital.
| He beat the gold by 4.5 hours
After receiving the treatment, the emergency department doctor, after preliminary examination and judgment, considered that Mr. Wu may have a stroke attack, immediately started the stroke green channel, gave priority to relevant detailed examinations and admission procedures, and at the same time, the hospital neurologist consulted urgently. Neurologist Jin Feng found that Mr. Wu's speech was slurred, the corners of his mouth were crooked, and the muscle strength of the upper and lower limbs of the right limb was generally divided into 0-5 levels , of which level 1 was visible muscle contraction, but could not move, and level 5 was normal), and the NIHSS score was 8 points (NIHSS score, which was used to quantify the degree of condition of patients with ischemic stroke. < 4 is divided into mild, 4-8 is moderate, and >8 is severe). Just during the consultation, Mr. Wu repeatedly appeared symptom fluctuations several times, speaking sometimes clear and sometimes blurry, the right upper and lower limbs can sometimes be elevated and sometimes unable to move, combined with the results of the head CT examination, neurologist Jin Feng considered the patient as an acute cerebral ischemic stroke early warning syndrome, he immediately gave the patient intravenous thrombolysis treatment, in the process of thrombolysis treatment Mr. Wu's symptoms improved rapidly, strange things happened, after the end of thrombolysis, the symptoms fluctuated again, under the guidance of Ji Yan, director of the Department of Neurology, Golden Phoenix is given further antithrombotic, expanding capacity, and improving microcirculation therapy. After a week of systematic treatment, Mr. Wu's condition gradually improved and recovered, and after a week Mr. Wu could be discharged from the hospital with almost no sequelae. "Mr. Wu was able to recover so quickly and without sequelae, the key is that he was sent to the hospital and treated in a timely manner, and he seized the gold within 4.5 hours." Ji Yan, director of the Department of Neurology, introduced to reporters.
| Guangdong Qifu Hospital has entered the Panyu stroke emergency map
Ji Yan introduced that intravenous thrombolysis is currently recognized in the world as the first means of treating ischemic stroke, and is an effective way to reduce the disability rate and mortality rate. However, intravenous thrombolytic therapy has a strict time limit (usually within 4.5 hours of onset), and the time window treatment will maximize the benefits of drug therapy and reduce the risk. Once the "thrombolytic time window" is exceeded, acute sudden stroke cannot be treated by the method of "intravenous thrombolysis". As a result, many patients miss the optimal period of treatment.
Therefore, stroke treatment must be a race against time, and at present, Guangdong Qifu Hospital has entered the Panyu Stroke Emergency Map and is a hospital with stroke emergency treatment capabilities. Patients who suspect or have a stroke can go to the stroke emergency map and find the nearest hospital for medical treatment.
Stroke (commonly known as "stroke") is characterized by high morbidity, high disability rate, high mortality and high recurrence rate. Globally, 1 in 4 adults over the age of 25 will develop a stroke in their lifetime, according to data released by the World Health Organization (WHO).
October 29, 2021 is the 16th World Stroke Day, with the theme: Be alert to stroke symptoms and identify and treat them as early as possible. Ji Yan, director of the Department of Neurology of Guangdong Qifu Hospital, reminded the general public, "Scientific identification of stroke, after the stroke occurs, you should seize the gold for 4.5 hours, send to the hospital early for early treatment!" ”
Text/Guangzhou Daily, New Flower City Reporter: Xiao Guilai Correspondents: Deng Fang, Zhang Yanfang
Photo/ Guangzhou Daily, Xinhuacheng reporter: Li Bo, Xiao Guilai
Guangzhou Daily New Flower City Editor: Chen Junsheng