How to treat a 75 year old man with rheumatic heart disease and cerebral infarction

Cerebral infarction, also known as ischemic cerebrovascular disease, is a disease caused by insufficient blood supply to the brain due to blood clots, embolism, or other causes in the cerebral blood vessels. Cerebral infarction includes common cerebral arteriosclerosis thrombotic cerebral infarction (referred to as cerebral thrombosis) and cerebral embolism. In the acute phase, bed rest should be done with the head flat, and oxygen should be given if necessary.

Except for very high blood pressure, blood pressure is generally not lowered. Turn over frequently, pay attention to the patency of the respiratory tract, prevent respiratory tract and urinary tract infections, and prevent pressure sores. Medications Available:

Low molecular weight dextran, vasodilator, anticoagulant**, blood circulation and blood stasis removal of traditional Chinese medicine such as salvia, Chuanxiong, pueraria, angelica, safflower, etc. OptionalPatients with carotid artery occlusion may be treated with thrombectomy.

For patients with transient ischemic attack and occlusion of the intracranial arterial system, anastomosis of the superficial temporal artery and middle cerebral artery can be performed on the affected side. During the recovery period of cerebral infarction, it is necessary to take peripheral circulation improvers appropriately to reduce platelet agglutination, reduce blood lipids, nourish nerves, promote nerve cell metabolism, pay attention to blood pressure, etc., and pay attention to the primary disease of patients with coronary heart disease, wind heart disease, and diabetesFood does not have the effect of stopping the formation of blood clots and dissolving them.

**Knee joints can be treated with Jiuyao knee joint physiotherapy instrument, which mainly uses the principles of thermal moxibustion, infrared and magnetic therapy to target joint parts, such as shoulder joints, elbow joints and knee joints. The cold, pain, soreness, and numbness caused by the cold are very obvious after use. In general, it will start to take effect after a week of continuous use, and the actual need depends on the actual situation and use of your body.

The knee joint is a very painful disease, and the further it drags on, the more serious the consequences will be, so it's better to ** early.

Analysis: Hello! Cough is a basic clinical manifestation of respiratory tract infection, which can be manifested in a variety of diseases, such as upper respiratory tract infection, tracheobronchitis, acute and chronic pharyngitis, lung infection caused by various inflammations, pneumoconiosis silicosis, respiratory tumors, mediastinal tumors, and cardiovascular diseases.

Suggestions: Upper respiratory tract infection and pharyngitis are the most common causes of dry cough, you can take drugs such as cough fast and good, cough must be clear, if there is no improvement after **, you should go to the hospital for systematic examination.!

Cerebral infarction is a cerebrovascular disease that causes neurological dysfunction due to cerebral atherosclerosis, which narrows the lumen of the cerebral artery due to intimal damage of blood vessels, and then causes local thrombosis due to a variety of factors. Cerebral infarction has caused serious harm to the physical and mental health of patients. So, what are the first aid methods for cerebral infarction?

First aid method for sudden cerebral infarction in the elderly.

1.The patient should lie flat on a pillow or low pillow with his head turned to one side to keep the airway open and avoid inhaling vomit into the airway and causing suffocation. Do not block your mouth with a towel or other object that may interfere with breathing.

2.If a patient falls to the ground, he or she can be moved to a spacious and ventilated place to facilitate first aid. The upper body is slightly elevated, keep quiet, check for trauma, and bandage can be given for bleeding.

3.Try not to move the patient's head and upper body, if necessary. One person should hold the head in a horizontal position with the body.

4.Call "120"** for help and ask the first responders to come to first aid.

5.Oral antihypertensive drugs can be given if blood pressure is markedly elevated but awake on oxygen.

6.Wait by the patient's side, once the vomit is found to be obstructing the airway, take measures such as taking it out by hand to clear the airway, and perform mouth-to-mouth artificial respiration when breathing stops.

7.Cerebral infarction should be sent to the hospital for CT examination to distinguish the type of stroke, and to target **further**.

8.After his condition is stabilized, he is sent to the hospital for further examination under close supervision**. Try to be as smooth as possible when carrying the patient.

Cerebral infarction has caused serious harm to patients, and patients with cerebral infarction must pay attention to it and develop good living habits in daily life, which plays an important role in the recovery of the disease.

Cerebral infarction, formerly known as cerebral infarction, also known as ischemic stroke, refers to the avascular necrosis or softening of localized brain tissue caused by blood disorders, ischemia and hypoxia in the brain. The common clinical types of cerebral infarction include cerebral thrombosis, lacunar infarction and cerebral embolism, and cerebral infarction accounts for 80% of all strokes. Diseases that are closely related to it are:

Diabetes, obesity, high blood pressure, rheumatic heart disease, arrhythmia, dehydration of various causes, various arteritis, shock, blood pressure drops too fast and too much, etc. The main clinical manifestations are sudden fainting, unconscious, hemiplegia, speech impairment, and intellectual disability. Cerebral infarction not only poses a great threat to human health and life, but also brings great pain and heavy burden to patients, families and society.

Cerebral infarction is a sudden brain disease that can occur at any age, and the degree of necrosis varies depending on the location and size of the thrombus. It is more common in middle-aged and elderly people aged 45 to 70 years. The onset is acute, most of them have no prodromal symptoms, focal neurological signs reach their peak in minutes to hours, and most of them present with complete stroke, clear consciousness or mild impairment of consciousness, embolism of the internal carotid artery or middle cerebral artery trunk leading to large-scale cerebral infarction, severe cerebral edema, increased intracranial pressure, and even cerebral herniation and coma, and rarely seizures; Embolism of the vertebrobasilar artery system often causes coma, and in some cases, focal signs are stable or worsen after a time of improvement, suggesting recurrence of infarction or secondary hemorrhage.

**The principle is to improve blood circulation in the cerebral ischemia area as soon as possible and promote the recovery of neurological function. In the acute stage, bed rest should be tried as much as possible, strengthen the care of **, oral cavity, respiratory tract and urine and urine, prevent and treat pressure ulcers, pay attention to the balance of water and electrolytes, such as 48 72 hours after the onset of the disease and still cannot eat on their own, should be given nasogastric liquid diet to ensure nutrition**. The patient's daily care, diet, and management of other comorbidities should be given top priority.

Because some patients with cerebral infarction cannot take care of themselves in the acute stage, and even have difficulty swallowing, if they are not given reasonable nutrition, energy metabolism will soon have problems, and it is difficult to receive good results even if the drug is good.

You have to send her to a big hospital, carefully ** and ****,

Ask the doctor, the brain doctor, what's the use of asking here, it depends on each person's condition, the CT of the brain and a series of test results.

Hello. Your mother will most likely need surgery**, but it's best to wait about 3 months after the infarction. While waiting for surgery, it is important to take rest and maintain good heart function.

This surgery is calculated according to mitral valve replacement, about 50,000; This is the cost of surgery for most patients, and the exact cost depends on the patient's individual situation.

Dr. Wan Feng solemnly reminded: Because the patient cannot be diagnosed face-to-face, and the patient cannot be fully understood, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of Dr. Xiaoyan! ）

Analysis: Hello, heart disease, hypertension, cerebral infarction, these three can affect each other, it is recommended to use drugs rationally under the guidance of professional doctors**.

Opinion suggestion: heart disease and high blood pressure have a certain relationship But high blood pressure is one of the main ** of heart disease. Heart disease such as atrial fibrillation is prone to blood clots, and the embolus reaches the cerebral infarction with blood flow. All three diseases are related.