Family members in the hospital and the doctor’s cooperation in treatment 1, to assist in care Patients with cerebral thrombosis are mostly obese, some also have combined diabetes, now the occurrence of hemiplegia, local nerve dystrophy, compression for too long will cause skin breakdown, the formation of “bedsores”. Once it happens, it may aggravate the cerebrovascular disease due to infection and fever, and in serious cases, it may lead to sepsis and death of the patient. Therefore, family members should pay attention to regular turning and back patting, scrubbing the skin with warm water, and gently massaging the pressed parts, especially the more prominent parts of the skeleton, such as the spine and sacrococcygeal area, when accompanying the patient. The frequency of turning is usually about 2 hours. If skin breakdown is found, report to the health care provider for early treatment. Patients with urinary and fecal incontinence should change their diapers regularly, wash them with warm water after each stool, dry them and put on talcum powder. Some patients have difficulty swallowing after the disease, which is caused by paralysis of the muscles in charge of swallowing. Patients choke and cough when eating, especially when drinking water, and even food spurts out from the mouth and nose. At this time, care should be taken not to force the patient to take water or medication. For light patients, they can be allowed to eat sticky food, such as thick porridge and soft rice. Boil vegetables, minced meat and other side dishes and mix them into the rice, avoiding too thin and dry food, which can be easily swallowed. Oral medications, if not contraindicated, can be crushed and mixed in food. In severe cases, a nasal feeding diet is required, i.e., a rubber tube is inserted into the stomach through the nostril and food such as rice soup, milk and vegetable juice is injected into the stomach with a syringe to ensure adequate nutrition. Similarly, oral medication can be injected through the stomach tube. Note that the injected food and medication must not have large particles to avoid blocking the gastric tube. Nasal feeding is a necessary means to ensure treatment at a certain stage and is directly related to the success or failure of patient resuscitation. Some patients and family members are reluctant to accept the gastric tube, so that the patient can barely swallow, which is very dangerous, if the food is inhaled into the respiratory tract by mistake, the lighter caused lung infection, resulting in aspiration pneumonia; the heavier may die due to asphyxiation. 3, pay attention to the observation of changes in the condition, and report abnormalities to the medical staff in time. Patients with cerebral thrombosis have a relatively slow onset, with mild symptoms at the beginning, and most of them do not have consciousness disorder. However, the condition may worsen progressively within a few hours or days. Despite aggressive treatment by health care providers, the progression of the disease sometimes cannot be stopped. If the blocked blood vessel is large, the area of brain tissue necrosis is large, and cerebral edema is obvious, the patient may gradually develop drowsiness, i.e., he can wake up when called, and fall asleep again immediately without calling. Severe cases may enter coma. Family members should observe whether the strength of the paralyzed limbs gradually becomes smaller or even completely immobile. What is the mental state? If the patient is found to be drowsy and depressed, notify the medical staff immediately. At the same time, for critically ill patients, record the daily amount of food and water intake, urine volume, etc. for the doctor’s reference. 4. Help the patient to move the paralyzed limb early to promote rehabilitation. On the second day of illness, if the condition is stable, you can start to do the passive movement of the limb, that is, help the patient to stretch and flex the paralyzed limb. This will help promote blood circulation of the paralyzed limb, prevent deep vein thrombosis, promote muscle strength and joint mobility, and prevent contracture and deformation of the limb. The patient’s paralyzed limb should be placed in an antispastic position when inactive, i.e., lying supine with the affected upper limb on a pillow so that it is slightly abducted and externally rotated, the elbow joint slightly flexed, the wrist joint slightly dorsally extended, and the hand holding a cylindrical object of appropriate size, such as a roll of hand paper. The back is padded so that it is forward and upward; the outer hip of the lower limb is padded so that the hip joint is inward and the pelvis is forward, and a soft pillow is placed under the knee joint so that the knee joint is flexed and the ankle joint should be kept at 90° to prevent the foot from sagging, and the patient’s foot can be placed on the bed or wall or in a homemade splint. A head height of 30° is appropriate when lying supine, not too high. In lateral position, a pillow should be placed in front of the chest and lower limbs, with the upper limbs extended and the lower limbs flexed on the pillow. 5, pay attention to the patient’s emotional changes The patient suddenly loses the ability to move and speak, and even loses the ability to take care of himself and work, which is emotionally difficult to bear. Family members should actively cooperate with the medical staff, comfort and encourage the patient to cooperate with treatment and rehabilitation exercises. Try to avoid making the patient emotionally agitated. After discharge from the hospital, the patient should rest in bed, take medication regularly, and have regular outpatient reviews.