The golden period of medication for acute cerebral infarction (Medical and Health News, January 28, 2014) This interviewed expert: Liu Xiangzhe, chief physician of the Department of Encephalopathy of the First Affiliated Hospital of Henan College of Traditional Chinese Medicine, said in an interview on January 24 that doctors must grasp the golden period of medication when treating acute cerebral infarction (commonly known as stroke). In the treatment of acute cerebral infarction (commonly known as stroke, stroke), doctors must grasp the golden period of medication. The first hospital of Henan College of Traditional Chinese Medicine, Department of Brain Disease Liu Xiangzhe positive intravenous thrombolysis cerebral infarction is the most common type of stroke, accounting for 60% – 80% of all strokes. The time division of its acute phase is not uniform, but generally refers to within 2 weeks after the onset of stroke. The management of acute cerebral infarction should emphasize early diagnosis, early treatment, early rehabilitation and early prevention of recurrence. “Brain
cells depend on the normal supply of blood for their survival. When the brain is infarcted and the brain cells are not fed by blood, they will necrotize in about 5 minutes.” Liu Xiangzhe said, so the correct and standardized treatment of acute cerebral infarction is especially
This is why proper and standardized treatment of acute cerebral infarction is so important. Thrombolysis is currently the most important measure to restore blood flow, and the use of recombinant tissue-type fibrinogen activator (rt-PA) for intravenous thrombolysis is internationally recognized as the first choice for the acute treatment of cerebral infarction.
The use of intravenous thrombolysis with recombinant tissue-type fibrinogen activator (rt-PA) is internationally recognized as the first choice for the acute treatment of cerebral infarction. Studies have shown that the correct use of rt-PA intravenous thrombolysis can completely or nearly completely restore neurological function in patients. However
However, intravenous thrombolysis has strict time limits, indications and contraindications. According to Xiangzhe Liu, intravenous thrombolysis can only be performed within 3 to 4.5 hours of the onset and diagnosis of acute cerebral infarction to open the occluded blood
The patient can only be treated with intravenous thrombolysis within 4 to 5 hours after the onset of acute cerebral infarction and the diagnosis of acute cerebral infarction. And intravenous thrombolysis is only indicated for patients with acute cerebral infarction whose signs of brain impairment persist for more than 1 hour and are relatively severe; whose brain CT findings show no cerebral hemorrhage and no early large cerebral infarction imaging changes; who are between the ages of 18 and 80; and whose patients or family members sign an informed consent. “Intravenous thrombolysis is contraindicated in patients older than 80 years; with severe cardiac, hepatic, or renal insufficiency or severe diabetes mellitus; with intracranial tumors, cerebral aneurysms, cerebrovascular malformations, or recent cerebral hemorrhage; patients who have recently undergone major surgery or have active bleeding or trauma; and with low platelets, poorly controlled blood pressure, and pregnancy. ” Liu Xiangzhe reminded. A large number of clinical trials have confirmed that starting aspirin early after cerebral infarction and taking it for a long time can significantly reduce the rate of death or disability and reduce recurrence. Similar trials have also demonstrated that taking aspirin can also prevent and treat coronary heart disease. Therefore, Liu Xiangzhe said, “If a patient with acute cerebral infarction misses the golden period of intravenous thrombolysis, take aspirin while undergoing comprehensive treatment.” Liu Xiangzhe noted that for patients who miss the timing of thrombolysis, the dose of aspirin is 300 mg once a day for the first 7 days. after 7 days, 100 mg once a day for long-term use. For patients who undergo thrombolysis, aspirin is taken 24 hours after thrombolytic therapy. Liu
Xiangzhe said that like any drug with both pros and cons, aspirin has certain gastrointestinal reactions and side effects that cause bleeding. For patients taking aspirin for the first time, it is important to rule out peptic ulcers and bleeding disorders. After taking
After 3 to 6 months of use, go to the hospital to review the routine blood test and platelet aggregation rate. If symptoms such as dark stools, abdominal pain, bleeding gums, or skin bruises occur while taking aspirin, discontinue use immediately and seek medical attention or switch to another antiplatelet agent under professional medical supervision.
If you have symptoms such as dark stools, abdominal pain, bleeding gums, skin bruises, etc., discontinue the drug immediately and seek medical advice or switch to another anti-platelet aggregation drug under professional supervision. Stroke unit “The stroke unit is a model for improving the medical management of hospitalized stroke patients.” It is an organizational system designed to provide medication, physical rehabilitation, speech training, psychological rehabilitation and health education to improve outcomes for stroke patients,” Liu says. The core staff of the stroke unit consists mainly of clinicians, specialized nurses, physical therapists, occupational therapists, speech trainers and social workers. Liu
Xiangzhe said that clinical studies have confirmed that stroke units can significantly reduce the death rate of stroke and reduce the dependency of patients. Therefore, he recommends that hospitals that treat cerebrovascular disease should establish stroke units and that stroke patients should be admitted to stroke units.
Stroke patients should be treated in stroke units; the establishment of stroke units is based on ward space conditions, multidisciplinary medical teams and standard operating procedures; and hospitals at different levels should choose the right type of stroke unit according to their own conditions.