Two years ago, his health condition was very poor. After a comprehensive examination, he was found to have cerebrovascular, cardiovascular and bilateral lower extremity atherosclerosis, but the degree was not serious, the main problem was that he was in a depressed state. Only take sertraline, baixin, dezopiclone, Pingxin one tablet each, the physical condition is also very good, but a year ago, night hallucinations and hallucinations when getting up at night, the old man also very clear is hallucinations and hallucinations, no such phenomenon during the day, add olanzapine quarter tablets, at first the effect is very good, the old man sleep quality obviously improved, get up at night, because very sleepy, also can not feel hallucinations and hallucinations, but three months the effect began to However, the effect started to deteriorate in three months, and the dosage was increased to one-half tablet of olanzapine. A few months later, the effect started to deteriorate again, and now the dosage has been increased to one tablet, but the effect is not as good as the one-quarter tablet at the beginning. 2.What tests should be done to find out what problems? 3.Is it good to take oxygen regularly? 4.There is thrombolytic therapy for arteriosclerosis, does the elderly need regular thrombolytic therapy? Yang Lejin, Department of Psychology, Qilu Hospital, Shandong University
Yang Lejin, Department of Psychology, Qilu Hospital, Shandong University.
In which brain region is his cerebrovascular lesion? Does the patient have any family history or past history of mental illness? If the ischemic lesion is in the anterior cerebral artery supply area, previous history of psychiatric disease can be excluded.
He has cerebrovascular disease and cardiovascular disease, and his cardiac function is low, resulting in insufficient blood supply and thus insufficient oxygen supply. Simple oxygen inhalation can temporarily relieve the symptoms of hypoxia to a certain extent, but the effect is limited. The key is the improvement of cardiac function.
I have limited knowledge of the treatment of atherosclerosis, but as far as I understand, the current thrombolytic therapy has extremely strict indications, and there is a high risk, generally occurs when the application of atherosclerotic plaque rupture off, the elderly currently apply aspirin therapy, regular review of blood conditions can be. You can consult with cardiologists for specific professional problems.