Patient: Description of condition (time of onset, main symptoms, hospital visited, etc.).
He was hospitalized for cerebral infarction on August 25, 2011, and has not been discharged since then. At that time, he had aphasia and right hemiparesis, and stayed in the intensive care unit for a week. 160, after taking antihypertensive drugs half in 100-150, after 8: are normal, currently eating four antihypertensive drugs), heart disease, family history of diabetes (currently fasting blood sugar in about 5.9, after meals blood sugar in about 8, before three meals have been using insulin, long-acting (once a day) and short-acting), when the brain infarction and a small amount of bleeding, now check the right side of the neck blood vessels have plaque very thin, brain ultrasound There is no problem, the adrenal gland and aortic ultrasound examination is not a problem
He has been hospitalized since August 25. He can walk and talk, but sometimes he has amnesia, his expressions are not consistent with the actual content, his fingertips are not moving well, and his blood pressure has been very high.
What should be done to treat the neck plaque in combination with all the patient’s diseases? How to prevent and reduce hypertension? How to restore memory loss and speech? Qin Jianhui, Department of Peripheral Vascular Surgery, Beijing Dongzhimen Hospital: If you only have small plaque in the carotid artery, you do not need to do surgery, oral enteral aspirin and Bolivar will be fine, and later you should check the carotid artery regularly with ultrasound to clarify the condition of carotid plaque. It is also important to control blood sugar, blood pressure and blood lipids. Blood pressure and lipid control are also not too difficult, and the cardiologist is in charge of this matter.