Cerebral infarction is not terrible. There are prevention and treatment methods.

Stroke is an acute cerebrovascular disease, which is mainly caused by the sudden rupture or occlusion of blood vessels in the brain, resulting in the inability of blood to flow into the brain. It is usually divided into ischemic and hemorrhagic types, and cerebral infarction belongs to ischemic stroke.

Ma Hubei Aerospace Hospital, executive deputy director of neurology: Acute cerebral infarction has some typical symptoms. We basically judge from three points. The first is to look at people's facial expressions. Most patients with cerebral infarction have no facial expression on one side. Second, most patients will have decreased strength or unilateral hemiplegia. Our simplest (identification) is that after the patient raises his hands, if you release one hand, he will naturally droop. Third, the patient shows language barriers, unclear speech or inability.

In addition, patients may have blurred vision, dysphagia and even unconsciousness. The therapeutic effect of cerebral infarction is highly time-dependent. Once you find similar symptoms, you should seek medical attention immediately, and the earlier the treatment, the better the effect. In order to reduce the process of seeking medical treatment and help stroke patients to treat diseases as soon as possible, Hubei Aerospace Hospital has strengthened the treatment and management of stroke patients in recent years, at 20 18 12.

Ma: Yes, this is our stroke center, which is equivalent to our green channel. From admission, the stroke center is the starting point of our green channel.

The stroke center of Hubei Aerospace Hospital involves rescue room, CT room, interventional room, examination, color Doppler ultrasound, neurology, neurosurgery and critical care medicine. After the patient was taken to the hospital stroke center by 120 ambulance, he first entered the green channel of stroke, and the medical staff would carry out corresponding first aid work according to the symptoms of the patient.

Ma, executive deputy director of the Department of Neurology, Hubei Aerospace Hospital: First of all, it is necessary to judge whether the patient's vital signs are stable. If the patient is in shock, breathing and blood pressure are not good, he must be rescued in this rescue room. The second step is to judge that the patient is a stroke patient. At this time, our neurologist has been waiting here with the thrombolytic box just mentioned. After the judgment, the simplest blood drawing and electrocardiogram are completed in this rescue room.

After judging that the patient is a stroke patient, medical staff need to carry out CT examination to judge whether the patient is an ischemic stroke or a hemorrhagic stroke. Different types of stroke have different treatments. For patients with ischemic stroke or cerebral infarction, the onset time is less than 6 hours, and patients with indications of intravenous thrombolysis are most suitable for intravenous thrombolysis.

Executive Deputy Director, Department of Neurology, Mahu Beihang Hospital: I am used to giving an example. People have a cerebral infarction. It seems that the rice fields are short of water. When you are alive, you can start this road again. After water, the seedlings can still live. Once this time has passed, the seedlings will die. At this time, no matter whether you open this road again to get water or it rains again, the seedlings will pass.

Intravenous thrombolysis is to achieve the purpose of thrombolysis and vascular recanalization by intravenous injection of drugs in the shortest time. Thrombolytic therapy is the best within 6 hours after onset. After CT examination, it is determined that the patient is suitable for intravenous thrombolysis, and the medical staff will immediately thrombolysis the patient and dissolve the thrombus as soon as possible.

Ma, executive deputy director of the Department of Neuromedicine, Hubei Aerospace Hospital: According to our statistics, about 1 .9 million brain cells die in1minute, so we strive to shorten this time every minute and preserve its functions more.

If the symptoms are obvious or exceed the time window (within 6 hours), but the imaging evaluation has the value of arterial embolectomy, the patient needs to take arterial embolectomy. In the emergency green channel, the medical staff will immediately transfer the patient to the intervention room for treatment.

Ma, executive deputy director of the Department of Neurology, Hubei Aerospace Hospital: Arterial embolectomy is like this. We reach the embolic site directly through microcatheters and guide wires. After arriving at this thrombus site, if we can't even remove the thrombus by aspiration or stent, we will directly dissolve the thrombus, so the closer we are to this target, the less side effects it will have and the better the effect will be.

For patients with cerebral infarction, time is life. Failure to treat in time after onset may not only lead to disability, but also seriously endanger life. Patients with hypertension, hyperglycemia, hyperlipidemia and cardiovascular and cerebrovascular diseases are all high-risk groups of cerebral infarction. Although the incidence of cerebral infarction is high, as long as we improve our bad living habits, we can effectively prevent the occurrence of cerebral infarction. So what should we do in life?

Ma, executive deputy director of the Department of Neurology, Hubei Aerospace Hospital: There is a high-risk group of stroke, but he has not had cerebral infarction. We call this kind of person primary prevention. What does primary prevention include? Control some risk factors of cerebral infarction, such as hypertension, hyperglycemia, hyperlipidemia, obesity or unhealthy eating habits. Through these ways, we can change people's living habits, control the development of basic diseases, and achieve the purpose of preventing stroke. The secondary prevention is mainly aimed at some patients who have already had cerebral infarction. For this kind of patient, we give secondary prevention in order to prevent him from infarction again. Secondary prevention is mainly to use drugs and control some factors that can be intervened by changing some living habits.

A reasonable lifestyle, smoking cessation and alcohol restriction, a reasonable diet, an appropriate increase in physical activity and regular physical exercise can all achieve the effect of preventing diseases. For high-risk groups, regular physical examination and taking medicine on time are also important ways to prevent cerebral infarction.