Cerebral infarction patients with skin bruising, treatment should first clarify the cause of the disease, such as the use of antiplatelet drugs, anticoagulant drugs; anaphylactic purpura, etc., and then the cause of the treatment, such as selective discontinuation of the drug, dynamic observation, blood transfusion, medication and so on.
Cerebral infarction patients usually need to use aspirin enteric-coated tablets and other antiplatelet drugs, such drugs may cause bleeding adverse reactions, such as capillary rupture bleeding, this time the patient may appear local skin bruising, this situation, usually need to assess the patient’s coagulant function, the less serious can be observed dynamically, and if necessary, the suspension of the use of drugs can be considered.
For patients with cerebral infarction caused by cardiogenic embolism need to take oral anticoagulation accidental treatment, can also lead to bleeding events, mildly can be manifested as skin bruising, serious cases can lead to gastrointestinal hemorrhage, cerebral hemorrhage, etc., we must promptly assess the indicators of coagulation, blood counts, etc., timely discontinuation of the drug, and if necessary, we can consider the transfusion of blood products to supplement the treatment of blood coagulation factors.
Patients with cerebral infarction may be complicated by other diseases, resulting in abnormal coagulation function and skin bruising, such as allergic purpura, etc. At this time, it is necessary to treat the primary disease and give prednisone and other drugs.
Patients with cerebral infarction who have skin purpura are advised to seek medical treatment in a timely manner to have the cause of bleeding correctly evaluated by a physician and treated symptomatically and causally to avoid serious consequences.