My dad had a brainstem infarction for 6 days and is still asking for help in the ICU

Hello, look at the current situation as follows: the hospital considers brainstem infarction, the patient has numbness on the right side of the body, slurred speech, mild consciousness impairment (drowsiness or lethargy), not coma, may be due to the impact of ventilation after cerebral infarction, the use of tracheal intubation, ventilator to assist breathing. The patient has a history of hypertension, diabetes, and long-term alcohol consumption.

The diagnosis should be considered as cerebral infarction, the exact location of which I think is still in doubt. (explained below).

Since brainstem infarction is the most severe and worst of the cerebral infarctions, and the mortality rate is high, but your father is not conscious, even if there is a brainstem infarction, the size of the infarction is estimated to be relatively small, or it may be a cerebral infarction in other parts.

In this case, if the effect is good, it can be improved, and there may be sequelae of ineffective limb movement and slurred speech on one side, and the degree of sequelae can be reduced through functional exercise in the future, but it is difficult to say whether it can be restored to before the onset of the disease. If the effect is poor, there are many complications, and in severe cases, it is also life-threatening.

Endotracheal intubation is not impossible to do CT examination, if you can be weaned for about 1 hour as you said, and if the patient is not very difficult to breathe during this 1 hour, there is still a CT examination, of course, the risk during the examination is greater. I think CT is still very necessary, not only for the brain, but also for the lungs, to help determine whether the patient needs to fight infection** and how to deal with endotracheal intubation. Therefore, if the conditions can be created, the CT can be done as much as possible when the patient is relatively safe.

Also, upstairs is pure nonsense.

Please search for "Liu Suyun" on the Internet, chant more Buddha for your father, and the Buddha and Bodhisattva will bless your father. I hope your dad recovers from his illness soon!

If possible, quickly transfer to a better hospital and reconnect a blood vessel to the place of cerebral infarction

Hello, unfortunately, cerebral infarction, and infarction in the worst position, ** nothing special, the hospital will help you deal with it, remind you that the general vital signs are still stable, intubation can also do CT, can be done with a breathing bag to assist breathing, it is best to be able to recheck to see the intracranial edema, followed by the brainstem position in charge of heart rate, blood pressure, mental and other vital signs, the relative prognosis after infarction is poor, with the progression of cerebral edema is prone to cerebral herniation, the peak period of edema is 3-5 days, and the entire edema period will be about two weeks, At present, the mind is clear, it is good, and it is estimated that the probability of saving life is still quite large, but the quality of life is estimated to be relatively poor, and in addition, if the tracheal intubation cannot be removed, it is recommended to have a tracheostomy as soon as possible. FYI.

**Very difficult, 1The location of the brainstem is inherently very critical, the center of the respiratory circulation, and once an infarction and hemorrhage occurs, the consequences are very serious.

2.Infarction is usually not visible within 24 hours after the onset of infarction, and 24 hours after the onset of the infarction.

3.Because the onset of the disease is only 3 days, if the condition continues to deteriorate, it is not a good sign, and the family should be mentally prepared.

4.Cerebral edema occurs after cerebral infarction, and edema in the brain shaft is very fatal.

5.At present, infarction**, that is, the blood circulation and blood stasis of traditional Chinese medicine, but cerebral hemorrhage after infarction may also occur after large-scale infarction, so ** is also very contradictory.

Brainstem infarction? If the diagnosis is clear, just take it home. I've been sick for 3 days, and no matter how much money I have, it's useless.

Try Chinese medicine, but there is not much hope, my mother died of this disease last month, treated for a month, and in the end it only became more and more serious, regretting that there was no combination of Chinese and Western medicine, thorium, as well as physiotherapy, plus Western medicine.

Analysis:

Cerebral infarction is the destruction of brain tissue in the corresponding part of the artery after the blockage, which can be accompanied by blood.

This situation indicates that the condition is in remission.

Guidance:**:1 First remove risk factors, such as high blood pressure, quit smoking, and prohibit excessive alcohol consumption. 2. Antiplatelet drugs:

Antiplatelet drugs can effectively stop platelets from clumping, which is good for blood circulation and good for blood in the brain**. 3. Anticoagulant drugs: Anticoagulant drugs and antiplatelet drugs have the same effect, both of which can make blood unblocked, increase brain blood**, and reduce the onset of cerebral ischemia.

4. Improve circulating drugs and nourish brain cells**. 5. Acupuncture, functional exercise.

Problem Analysis: Yu Qin.

C Reactive protein determination Qingqingbi, rapid blood culture + drug sensitivity, common bacterial culture + drug sensitivity, procalcitonin several tests are routine examinations in the ICU, mainly to determine whether there is bacterial infection, to clarify what kind of bacterial infection, because ICU is a high incidence area of a variety of drug-resistant bacterial infections, infection is also an important cause of deterioration of critically ill patients, so these examinations are necessary.

Opinions and suggestions:

However, it is debatable whether it is necessary to do it every day, if the current infection of the patient is not under the premise of control, it is not clear that the infected bacteria have to be re-examined, if it has been clarified, it is not necessary to repeat the examination every day, and it will also increase the financial burden on the patient's family, it is recommended to communicate with the attending doctor to indicate the economic situation and attitude.