The treatment of cerebral infarction a few years after cerebral hemorrhage surgery mainly includes intravenous thrombolysis, arterial thrombolysis, antiplatelet aggregation, volume expansion and statin application, and craniotomy is considered when necessary.
First of all, it is clear that cerebral infarction occurs several years after cerebral hemorrhage surgery, which can be handled according to the principle of cerebral infarction treatment, and there is no conflict for the treatment of several years after cerebral hemorrhage surgery. If there is no contraindication to thrombolysis within 4.5 hours of acute cerebral infarction attack, consider giving alteplase for intravenous thrombolysis, and urokinase application is feasible within 6 hours.
If intravenous thrombolysis is not possible or the effect of intravenous thrombolysis is not good, action pulse thrombolysis or arterial thrombolysis can be considered.
For patients who have passed the acute phase of treatment, aspirin and atorvastatin can usually be considered, and intravenous rehydration can be considered for appropriate volume expansion.
If large cerebral infarction has been caused, and the patient develops hemiparesis, epilepsy, or even leads to coma, emergency surgical craniotomy and decompression of the bone valve should be performed.
Symptoms such as limb weakness, numbness, consciousness disorder and so on need to consult the doctor in time, standardize the treatment, and strive for maximum recovery.