My grandfather was diagnosed with cerebral infarction today, how was it treated?

It may be just a lacunar cerebral infarction, preferably with fluids** followed by acupuncture**. It is effective and safe. It is best to be hospitalized so that the system can be **.

The following points should be noted: 1. Control intracranial pressure, reduce cerebral edema, prevent the formation of cerebral herniation, and promote the recovery of diseased brain tissue function. Hyperosmolar dehydrators, diuretics, and hormones can be given promptly**.

Brain cell activators may also be given as appropriate. The application time of dehydrating agent should depend on the condition, generally after 1 2 weeks**, if the patient's consciousness disorder disappears and the intracranial pressure has returned to normal, vasodilators and blood circulation and blood stasis removal drugs can be given. 2. The application of vasodilators and blood stasis drugs must be mastered at the time of medication, and they cannot be used blindly or too early, otherwise, there will be "blood steal syndrome" and aggravate the condition.

At the same time, we should also pay attention to blood pressure control, maintenance of water and electrolyte balance, prevention and **complications and other combinations**. 3. Hyperbaric oxygen has been proved to have a good effect on cerebral infarction, which can greatly reduce the disability rate of cerebral infarction. It is suitable for early application, once a day, 10 times for 1 course of treatment, each oxygen inhalation time is 90 110 minutes, and must be carried out in a closed pressurized chamber, subject to conditions.

4. Comatose patients should pay attention to keeping the respiratory tract unobstructed and suctioning sputum in time, turning over and patting the back, moving limbs, and preventing pneumonia and bedsores. Cerebral infarction is due to severe damage to brain tissue, with a mortality rate of 5% to 15% in the acute phase. The disability rate is about 50% of patients who survive.

The prognosis depends on the location and extent of the infarction and the severity of comorbidities or complications. In general, the prognosis is relatively poor.

Is it dangerous to have a cerebral infarction? What to do**?

OneIt is still very serious to have a cerebral infarctionBecause the incidence of cerebral infarction in China is getting higher and higher, it has a series of characteristics of high disability rate, high incidence rate and high rate, which seriously threatens human health and is a common disease of middle-aged and elderly patients. Even if there are the most advanced and perfect means, more than half of the patients will still have sequelae, resulting in a decline in the quality of life of the patients, and cerebral infarction can also endanger the lives of patients if they are not timely. At present, cerebral infarction is mainly ultra-early, and thrombolysis is given early, which is of great significance for vascular recanalization.

We should also pay attention to diet, low salt and low fat, control the risk factors of cerebrovascular disease, control blood pressure, blood sugar and blood lipids, prevent the recurrence of cerebral infarction, and develop good living habits.

Second, the method

There is no unified best method, cerebral infarction is divided into acute phase, recovery phase and sequelae phase, there are the following methods: 1. The acute phase requires clinicians to use thrombolysis and thrombectomy to restore blocked blood vessels and blood flow according to the situation, and use drugs to improve cerebral circulation to reduce the scope of infarction, protect brain cells, and prevent possible complications.

2. During the recovery period, it is necessary to use drugs to control the causes of cerebral infarction, such as controlling blood pressure, blood sugar, and blood lipids. It can be combined with traditional Chinese medicine, acupuncture, physiotherapy, ****. The main purpose of the sequelae stage is prevention, so it is mainly to take drugs for a long time and have regular check-ups.

3. Other effective ** in cerebral infarction ** include antiplatelet drugs, as well as enhanced statins**, mainly various statins can be anti-atherosclerosis. If the patient has comorbid hypertension and the condition has stabilized, blood pressure lowering** can be initiated. It also targets a variety of risk factors**, including glycemic control, hyperhomocysteinemia, hyperuricemia, and more.

In the acute phase, it can also be given to nourish brain cells, anti-free radicals and traditional Chinese medicine**. If the patient has increased intracranial pressure, dehydration and intracranial pressure lowering** are also given. It should be started as soon as possible after the condition is stabilized, and the vascular examination should be completed in the early stages of the disease.

The severity of cerebral infarction depends on the location and development of the infarction. It is recommended to go to the neurology department for relevant examinations, clear diagnosis, assessment of the condition, and active development, mainly to control the continued development of the disease, prevent cerebral edema, control intracranial pressure, and actively prevent complications. Of course, the diet should be regular and light in daily life, and the mood should be as calm as possible, do not lose your temper, and maintain a happy mood.

It is very dangerous to have a cerebral infarction, which refers to a cerebral vascular infarction. You should seize the best time to go to the hospital immediately for surgery to unclog the blood vessels.

Cerebral infarction. The best approach is usually comprehensive, and it is important to detect cerebral infarction as soon as possible in its early stages and to identify whether it is a stroke.

If you have a cerebral infarction, you should choose the nearest stroke center as soon as possible. The onset time of cerebral infarction is within 4-5 hours, if there is no contraindication to thrombolysis, it is recommended that patients undergo intravenous thrombolysis as soon as possible, and before the thrombus is fully formed, intravenous thrombolysis can be used to dredge blood vessels, promote the recovery of infarcted brain tissue, reduce the manifestations of neurological deficits in the later stage, and improve the prognosis of patients. If the best time is missed, mechanical thrombectomy or arterial thrombolysis can also be selected according to the patient's multimodal imaging results to improve the blockage of the patient's blood vessels as much as possible.

If the first critical time is missed, prophylaxis and medication are usually chosen, and if the patient has atherosclerotic cerebral infarction, antiplatelet therapy can be performed. If there is a cardiogenic cerebral infarction, such as atrial fibrillation.

Anticoagulation can be used**, and at the same time, symptomatic symptoms such as improving microcirculation and antioxidant free radicals can be given**. In the later stage, when the patient's condition is stable, the patient's nerve can be carried out as soon as possible, usually the first 3 months after cerebral infarction is the first time of the nerve, and the nerve is strengthened, which is more helpful for the patient to improve the prognosis.

Cerebral infarction is divided into different stages, and in the acute stage of cerebral infarction, different methods are usually used according to the different time limits or time windows. In the acute phase, thrombolysis** can be used to recanalize the cerebral vessels if it is within 3 hours or 6 hours. There are two types of thrombolysis, intravenous thrombolysis and arterial thrombolysis.

Although it is two different methods, the goal is the same, that is, to recanalize the blood vessels and restore the blood, so as to achieve the best goal.

If the time window is exceeded, the method of thrombolysis is no longer used, which will lead to aggravation of the condition and even cause cerebral hemorrhage, so with the different time window, the method is also different.

Cerebral infarction can be treated with general**, drug** and surgery**.

1. General**.

Including respiratory support, nutritional support, etc., to maintain the patient's vital signs and water electrolyte balance.

2. Drugs**.

Drugs such as mannitol, fructose, or furosemide may be used to reduce intracranial pressure, and drugs such as edaravone, citicoline, and urokinase may be used to improve brain microcirculation.

3. Surgery**.

When the infarct area is large, craniotomy or partial brain tissue resection should be performed in time to reduce intracranial pressure and reduce damage to brain tissue.

**Principle. 1) Ultra-early**: "Time is the brain", and strive to choose the best ** plan as soon as possible after the onset of the disease to save the ischemic penumbra.

2) Individualization** It is most appropriate to take according to the patient's age, type of ischemic stroke, severity of illness, and underlying disease.

Target**. 3) Adopt a holistic approach to targeting, and at the same time, provide support, symptomatic and early intervention, and take preventive intervention for stroke risk factors in a timely manner.

The question of whether cerebral infarction can be cured is difficult to explain in one sentence because it is related to many factors.

First of all, cerebral infarction is a disease, which can also be subdivided into lacunar cerebral infarction, cerebral infarction, and large-scale cerebral infarction.

Generally speaking, most patients with lacunar cerebral infarction have very mild symptoms, and even the patient does not feel anything, and generally there will be no sequelae, so that there is no problem of curing in terms of symptoms, and there will be no abnormalities in people's performance, but the tiny blood vessels blocked in the brain are generally difficult to reopen, that is, the symptoms are not cured, but the blood vessels in the brain cannot be cured.

For ordinary cerebral infarction, the area of the infarction in the brain is less than 5cm, and the symptoms of the person are obvious, such as hemiplegia and aphasia, etc., and the symptoms are directly related to the specific blockage of the blood vessel in the brain. For example, if a blood vessel in the brain stem is blocked, the symptoms can be severe and may even lead to death.

The prognosis of such an infarction is basically directly related to whether the blood vessels can be recanalized in time, if the patient can be thrombolyzed within 4 hours after the onset of the disease, or thrombolysis can be intervened, if the blocked blood vessels can be recanalized, then the patient is likely to return to normal, even if there are some sequelae, most of them can be recovered through the later stage.

However, if the blood vessels can no longer be reopened, the patient will successfully pass the acute phase, and most of the general symptoms will recover through active ** and exercise.

If there is a large cerebral infarction, most of such patients have hemiplegia, coma, serious and even death, if the first time, especially the intervention of thrombolysis, some thrombolysis is successful, most of the symptoms are recovered, and even a small number can be completely. However, most of them will have some functional abnormalities. However, if the blocked blood vessels cannot be re-opened, then the sequelae cannot be completely exercised in the later stage.

However, after passing the dangerous period, there will be some recovery, and some will be in a long-term coma and bed hemiplegia.

The symptoms of cerebral infarction must be carried out in time**, so as to delay the progression of neurological deficits and avoid life-threatening aggravation. Aggressive thrombolysis is possible at the very early stage of cerebral infarction, i.e., after evaluation by a specialist within hours**.

If the patient with acute cerebral infarction is within the thrombolysis time window, it is recommended to dissolve the thrombolysis**, such as giving alteplase or urokinase thrombolysis, or interventional thrombectomy, which can reduce the incidence of hemiplegic sequelae. After the thrombolysis time window, fiber reduction, anticoagulation, antiplatelet aggregation, and improvement of microcirculation can be given**. After the stabilization period, functional training can be given to minimize the patient's limb mobility impairment and restore the patient's ability to perform daily living.

It is necessary to take medication regularly, pay attention to measuring blood pressure, blood lipids, and blood sugar levels, and control risk factors such as hypertension, hyperlipidemia, and hyperglycemia. Eat a low-salt and low-fat diet, stop smoking and alcohol, exercise moderately, and avoid emotional stress and fatigue. I wish you a speedy ** [heart].

It is recommended that after discovering that you have a cerebral infarction, you should immediately go to the hospital**, go to the neurology department**, take medication according to the doctor's advice, or be hospitalized directly**, eat more fresh fruits and vegetables, meat, eggs and milk and other foods to maintain a happy mood.

After having a cerebral infarction, we must go through exercise and then learn knowledge, and chemotherapy must be carried out, so that our disease will be cured slowly.

Follow the doctor's advice, stay in the hospital**, during the recovery period, it is recommended to take blood pressure medication, also avoid mood swings, quit smoking and alcohol.

Hello! Was the patient's cerebral infarction diagnosed by CT or MRI of the brain? The lesion of cerebral infarction is divided into the central necrotic area and the surrounding ischemic penumbra, the central necrotic area is irreversible, and the main thing is to save the ischemic penumbra.

Due to the non-reproducibility of brain nerve cells, the function of nerve cells in the central necrotic area is lost, so there will be different degrees of sequelae after cerebral infarction. After cerebral infarction hemiplegia, the function of the lower limbs is generally restored first, and the function of the upper limbs is restored later. With regard to cerebral infarction, a combination of holistic synthesis and individualization is required.

First of all, it is necessary to control blood pressure, blood sugar, and blood lipids within the normal range, give antiplatelet preparations (aspirin), improve cerebral blood circulation** and brain protection**, and give standardized **** at the early stage. Long-term bed rest should pay attention to prevent the occurrence of cherry tree aspiration pneumonia and venous thrombosis of the lower limbs. Bethune International Peace Hospital-Geriatrics-Yu Baocheng View the original post

Some cerebral infarctions can be completely **, mainly related to the degree of cerebral infarction. Many people have experience, that is, after going to the hospital for an examination, the doctor told the patient that he had a cerebral infarction, but he did not know it at all, from this point of view, it is understandable that some cerebral infarctions can be cured without need, but some symptoms can not be healed, such as unfavorable upper or lower limb activities, unfavorable language, swallowing problems, drinking water and coughing and other symptoms, mild patients have been standardized**, such as antiplatelet aggregation, vegetative nerves, acupuncture**, etc., most of which can be completely relieved.

If the disease is more severe and the recovery is very slow, there will be sequelae symptoms, such as 6 months after cerebral infarction, the patient still has unsteady walking, hemiplegic gait or inflexible arm and finger movements, etc., the principle is to improve the blood circulation in the ischemic area in the acute phase and promote the recovery of nerve function. Whether the cerebral infarction is **related to the general**, that is, whether thrombolysis has been used in the early stage**, and sometimes thrombolysis** or endovascular interventional thrombectomy ** is used in time in the acute stage, and it can be completely recovered, and even no symptoms at all.