At least 2/3 of patients could have successfully resolved their cerebral infarction symptoms through emergency surgery. However, in clinical practice, more than 99% of the patients with cerebral infarction miss the golden time for effective treatment, and less than 1% of them can finally be operated successfully! Signs of seizure – different strength of left and right, unclear speech ① suddenly feel numbness or weakness of one side of the face or limbs: crooked mouth, drooling, weakness of limbs, such as not being able to hold chopsticks with strength to hold the food, walking with one leg dragging the step, etc.; ② suddenly appear slurred speech or language disorder: suddenly appear difficulty in speaking or not understanding others’ words when talking with others; ③ suddenly appear headache or headache. ③Sudden dizziness: rotation of the surrounding scenery, unsteadiness or even fainting on the ground; ④Sudden loss of vision in one eye and recovery within minutes or seconds is an early warning sign of cerebrovascular disease; ⑤Sudden coughing, difficulty in swallowing, fatigue, drowsiness, ringing in the ears, unsteadiness in walking, etc. may also be the aura of cerebrovascular disease. Emergency treatment – let the patient lie with head tilted flat There is no golden emergency time for brain infarction and brain hemorrhage, generally the sooner the better. ①Be sure to call 120 immediately to save and send the patient with the help of an emergency doctor, rather than family members handling the situation on their own in the absence of experience. The patient can be made to lie flat on the ground and turn the head sideways. ② Do brain CT immediately after arriving at the hospital. When there is no brain hemorrhage on CT, and the brain tissue is “not yet abnormal”, cerebral angiography should be done quickly …… These procedures are interlocked and very close together. In this process, some family members are afraid that the patient can not make a decision due to the accident again when the examination is moved, the accident during surgery, etc., and delayed to sign, invariably delaying the time. ③ Be sure to see the emergency room, don’t hang outpatient. In the emergency room, infarction patients do CT through the green channel to quickly identify the situation, and can quickly operate to dissolve the embolism. ④The hospital you go to should be an emergency medical institution with medical conditions for arterial thrombolysis, and also have a visiting doctor to do arterial thrombolysis treatment 24 hours a day to ensure that the patient is treated in plenty of time. Brain hemorrhage Brain hemorrhage often develops during activity or emotional excitement. 50% of patients who develop brain hemorrhage have aura symptoms. Signs of onset – severe headache ①There is usually headache and vomiting, and symptoms such as coma, hemiparesis and incontinence appear rapidly; ②Severe headache is the most common symptom of cerebral hemorrhage. Once a severe headache occurs, patients should first think of the possibility of brain hemorrhage and should immediately take self-help measures. Emergency treatment – don’t move, apply cold compresses to the head The first 5 minutes of brain hemorrhage is crucial to life, which is called the “golden 5 minutes”. Accurate and quick home first aid can stop the development of the disease and reduce the death and disability rate. Generally, there is a period of time from the onset of brain hemorrhage to coma, so use this time to call 120 quickly, then get yourself to a flat place, untie your collar, lie down on your side, minimize physical activity, reduce blood pressure fluctuations, keep your mood stable, and wait for help. ②If family members are around, call 120 quickly and do not move the patient blindly. You can loosen the collar of the patient, and if the patient is wearing movable dentures, remove them in time. Lay the patient on his side with his head on one side to ensure an open airway to prevent vomit from being inhaled into the trachea and causing asphyxiation. ③To avoid shaking the patient’s head violently as much as possible, place cold towels, ice water, ice bags on the head when it is hot, and use ice-cream and popsicles instead to make the head vasoconstrict, reduce bleeding in the brain, reduce the occurrence of sequelae, and keep ventilation. ④When waiting for the emergency vehicle, the family can take out the blood pressure meter to measure the patient’s blood pressure. If the blood pressure of the patient with brain hemorrhage does not exceed 180mmHg, then the family should wait patiently for the emergency vehicle; if it exceeds 180mmHg, then the family should consider giving the patient antihypertensive drugs.