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The first is transient cerebral ischemia, which causes brief convulsions and then faints without remembering it. The second cerebral infarction caused weakness on one side of the body and then fainted. Third cerebral hemorrhage.
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Cerebrovascular disease refers to various diseases of cerebral blood vessels, including cerebral atherosclerosis, thrombosis, stenosis, occlusion, cerebral arteritis, cerebral artery injury, cerebral aneurysm, intracranial vascular malformation, cerebral arteriovenous fistula, etc., which are commonly characterized by ischemia or hemorrhagic accident of brain tissue. Cerebrovascular diseases mainly include two main categories of diseases:
1. It is ischemic cerebrovascular disease, such as moyamoya disease, ischemia, cerebral infarction, cerebral infarction and other diseases, as well as ischemia and cerebral infarction caused by intracranial vascular stenosis, or ischemic disease caused by thrombosis.
2. It is hemorrhagic cerebrovascular disease, such as hypertensive cerebral hemorrhage, intracranial aneurysm, arteriovenous malformation, or moyamoya disease and cavernous hemangioma, which are all diseases that are prone to bleeding.
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Coronary heart disease, cerebral thrombosis, cerebral hemorrhage, hypertension and other diseases are common cerebrovascular diseases.
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There are two main types: cerebral hemorrhage and cerebral infarction. One is that the cerebral blood vessels are broken, and the other is that the cerebral blood vessels are blocked.
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1. Transient ischemic attack, i.e., TIA;
2. Chronic cerebrovascular diseases, including cerebral arteriovenous lesions caused by cerebral insufficiency of cerebral blood supply, dizziness and other symptoms, mainly internal medicine drugs or interventions**;
3. The tumor of the blood vessel is called an aneurysm, which can also be used by embolization through surgical intervention, and the whole cerebrovascular disease cerebrovascular malformation, cerebral aneurysm, etc., is mainly surgery**;
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a.Ischemic cerebral hematologic disease of Lee's duct.
b.Bloody cerebrovascular disease.
c.Cerebral embolism.
d.Transient ischemic episode.
e.Subarachnoid hemorrhage.
Correct Answer: a
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Cerebrovascular diseases are common in the following ways:
Transient ischemic attack (TIA).Mostly due to the small fragments of atherosclerotic plaques scattered in the blood, or microemboli, into the cerebral circulation to cause focal small infarction, transient hemiplegia, monoplegia, sensory loss, aphasia, blindness, etc., symptoms and signs disappear within 24 hours, but can be reversed.
Cerebral thrombosis. Focal cerebral infarction caused by cerebral atherosclerosis, lumen stenosis, and obstruction of blood flow, and corresponding symptoms and signs, such as hemiplegia, aphasia, etc. The onset is more common at night or at rest, with a peak incidence in the 60s and 70s.
Symptoms may worsen within a few hours or even 1 or 2 days, and then gradually recover.
Cerebral embolism, due to blood clots outside the brain (thrombus fragments) or air, fat, parasite eggs, etc., enter the brain with the bloodstream, causing acute embolism, forming focal infarction, and corresponding symptoms and signs, such as hemiplegia, monoplegia, aphasia, etc. It is more common in young adults with rheumatic heart disease and mitral valve disease, where valve vegetations fall off and become emboli, causing cerebral embolism.
Brain CT examination of ischemic cerebrovascular disease may show low-density infarct foci, which may be normal in TIA, and lacunar hypodense infarct foci may also be seen. **The principle is the use of vasodilators, calcium ion antagonists, antiplatelet aggregators, etc.
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The main symptoms of cerebrovascular disease are:
1. Sudden crooked mouth and eyes, salivation at the corners of the mouth, slurred speech, difficulty in pronouncing words, aphasia or inability to speak, difficulty swallowing, weakness or inflexibility of one limb, unsteady walking or sudden fall. This is caused by insufficient blood supply and motor nerve dysfunction due to cerebrovascular disease.
2. Sudden onset of severe headache, dizziness, or even nausea and vomiting, or the form and feeling of headache and dizziness are different from those in the past, the degree is aggravated, or the degree is changed from intermittent to persistent. These signs indicate fluctuations in blood pressure or brain dysfunction and are a sign of intracerebral hemorrhage or subarachnoid hemorrhage.
3. Numbness of the face, tongue, lips or limbs, some manifestations of hazy eyes or temporary inability to see clearly, tinnitus or hearing changes. This is due to insufficient blood supply to the cerebral blood vessels, which affects the sensory function of the brain.
4. Impaired consciousness, manifested by malaise, long-term desire to sleep or grogginess all day. The personality is also abnormal, suddenly becoming taciturn, indifferent, slow or irritable, and some have a temporary loss of consciousness, which is also related to cerebral ischemia.
5. General fatigue and weakness, sweating, low-grade fever, chest tightness, palpitations or sudden hiccuping, vomiting, etc., which are manifestations of autonomic nerve dysfunction.
The above symptoms may not be manifested by every patient, but as long as there are premonitory symptoms, it is a stroke alarm for middle-aged and elderly people, and special vigilance should be taken. At this time, the patient should be kept quiet, bed rest in time, avoid mental stress, and move as little as possible, preferably on the spot**. If necessary, the patient should be taken to the hospital with the patient lying down.
Especially with the arrival of autumn and winter, the incidence of cerebrovascular disease has also increased. At the same time, in an environment of rising living standards, high social competition and high pressure, coupled with bad habits such as smoking, drinking, and staying up late, cerebrovascular diseases have shown a trend of younger people. The youngest stroke patient is now in his 30s, according to reports.
Wuhan Hongqiao Brain Hospital specially held a large-scale preferential activity for screening 1,000 people for cerebrovascular diseases, and it is now being booked. For details of the event and how to make an appointment, please search for "Wuhan Hongqiao Brain Hospital" and make an appointment or consultation at the hospital**.
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Cerebrovascular diseases can be broadly divided into three main categories:
1. Hemorrhagic cerebrovascular disease, including cerebral hemorrhage, is the most common hemorrhagic cerebrovascular disease, mainly hypertension, cerebral arteriosclerosis, cerebral infarction, brain tumor, blood disease, arteritis, vascular malformation, etc., sometimes the use of anticoagulant and thrombolytic drugs and other reasons can also be caused, subarachnoid hemorrhage, mostly caused by congenital abnormalities of cerebrovascular, as well as epidural and subdural hemorrhage mostly caused by trauma.
2. Ischemic cerebrovascular disease, including cerebral infarction is the most common ischemic cerebrovascular disease, cerebral embolism caused by various reasons, cerebral thrombosis, lacunar cerebral infarction, etc., as well as transient ischemic attack, transient ischemic attack, which can be completely restored to normal within 24 hours.
Third, the author of the anti** can have cerebral infarction.
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Common cerebrovascular diseases include cerebral infarction, cerebral embolism, cerebral hemorrhage, cerebral insufficiency, transient ischemic attack, etc., which are related to atherosclerosis, obesity, hyperlipidemia, hypertension, hyperglycemia, smoking and other factors.
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