How is brainstem ischemia treated5, how is brainstem ischemia treated

Go to a regular neurology department**. General principles: prevention, improve cerebral circulation, rescue neurons in the penumbra, symptomatic such as relieving cerebral edema, etc.

Brain stem. Ischemia, also known as insufficient blood supply to the brainstem, has many causes.

Cervical spondylosis. Related, yes.

Cervical vertebra. Physiological dysfunction.

Encumbrance. Autonomic nerves.

As a result, the blood from the heart cannot be supplied to the brain. It's a functionality.

Nerve. For damage, the cervical spine should be examined for magnetic resonance and resonance.

Cervical veins. Blood supply is needed to confirm the diagnosis. Suggestions: It is recommended that you should do a test to confirm the diagnosis, and you should be tested first at present.

Blood pressure. Change, you can continue to eat as you currently eat.

Drugs, these are drugs that improve circulation, have the effect of improving cerebral ischemia.

Are you talking about insufficient blood supply to the brain? If the disease is not severe, you can take some drugs (drugs that promote blood circulation and stasis and nourish brain cells).

Here I can only give some advice: **The experience with a high success rate mainly lies in:

Dispel concerns and aggressively perform tracheostomy;

Actively take hibernation** and head hypothermia protection to reduce brain cell metabolism, and do not use wake-up promoters too early to minimize the patient's brain function load;

Active and orderly intracranial pressure lowering**: Crystal dehydrating agent in combination with colloidal dehydrating agent (human blood albumin);

The early application of antioxidant and other brain care agents;

timely administration of Chinese patent medicine preparations to invigorate blood circulation and eliminate blood stasis;

Replenish nutrients to maintain water, electrolyte and acid-base balance;

Intensive care; Establishment and operation of a comprehensive treatment system for cerebrovascular diseases (implementation of stroke unit concept and multidisciplinary collaboration).

Brain stem hemorrhage with bulbar paralysis, loud snoring, head swaying, and shaking are not conducive to brain protection and will inevitably aggravate the condition. In the past, due to concerns such as the intensity of nursing work and the risk of surgery, he was cautious about performing tracheostomy. Brainstem hemorrhage with loud snoring as an indication for tracheotomy is a bold appreciation; Sub-hypothermia** can reduce tissue oxygen consumption and metabolism, improve tolerance to hypoxia, reduce cerebral edema, and protect the blood-brain barrier[1].

Early application of hypothermia** can also prevent or alleviate reactive hyperthermia after brain injury and prolong the action time of dehydrating agents. Bleeding can also be stopped in patients who continue to bleed [2]; Avoiding premature use of brain cell excitatory activating drugs in the acute phase of critical illness is the best protection for brain cells; Lowering intracranial blood pressure**, especially in older patients, should be cautious with mannitol dosage, preferably supplemented with glycerol fructose. The application of human blood albumin is not only an excellent drug to enhance immunity and nutritional support, but also a good medicine to improve colloidal osmotic pressure in the body and reduce intracranial pressure; The application of brain cell protective agents, including calcium ion antagonists, free radical scavengers, excitatory amino acid NMDA receptor antagonists, etc., is beneficial to the treatment of brainstem hemorrhage; In recent years, the method of activating blood and removing blood stasis** has received attention in the acute phase of intracerebral hemorrhage [3].

According to the theories of traditional Chinese medicine, such as "the blood that deviates from the menstruation is stasis", "the blood stasis does not go, the new blood does not grow", "the wind treats the blood first, and the blood is self-extinguishing", and combines the basis of the clinical objective "blood stasis syndrome" and the self-stopping of cerebral hemorrhage. Early use of blood-activating and anti-stasis drugs has a good effect on hypertensive intracerebral hemorrhage, which is safe and effective [4]. Early use of antibiotics and antiulcer drugs is necessary to prevent infection and peptic ulcers; Replenishing nutrients and maintaining water and electrolyte balance are important links that cannot be ignored; The introduction of the concept of "stroke unit", multidisciplinary collaboration, comprehensive and standardized overall nursing and training is the guarantee for the success of brainstem hemorrhage.

Episodic vertigo may occur, often accompanied by nausea and vomiting. Posterior cerebral artery involvement may result in blindness or visual field defects in one or both eyes; Diplopia, ataxia, dysphagia, dysarthria, and crossover paralysis occur when the brainstem and cerebellum are affected. A small number of patients may have cataplexy attacks when the head is raised or turned rapidly, that is, the lower limbs suddenly feel weak and fall to the ground, but the consciousness is clear and can often stand immediately, which is a specific sign of transient ischemia in the brainstem.

Patients with high blood pressure must adhere to medication to control their blood pressure for a long time, otherwise they are likely to cause hypertensive encephalopathy due to excessive blood pressure. Brainstem hemorrhage is a neurological emergency with a high mortality rate. The brainstem is an important conduit between the brain, cerebellum and spinal cord.

The center of life is located in the brainstem, and you can imagine the importance of the brainstem. Hypertensive brainstem hemorrhage has an acute onset and high risk, requiring prompt and effective treatment.

It is possible to cure hypertensive brainstem hemorrhage, and the chance is related to the amount of brainstem hemorrhage. Those with less bleeding may **, but there will be sequelae after **, which requires a long period of recovery, and some patients will also have a long-term coma. If the amount of bleeding is large and difficult, it can cause death in a short period of time.

The main reason for the occurrence of hypertensive brainstem hemorrhage is cerebral arteriosclerosis caused by hypertension, and the diseased blood vessels become fragile, which can easily lead to hypertensive intracerebral hemorrhage. In hemorrhage deep in the cerebral hemispheres, blood reaches the brainstem through gaps in nerve fibers, causing secondary brainstem hemorrhage. Clinical symptoms of hypertensive brainstem hemorrhage are headache, coma and convulsions.

Once a hypertensive patient has relevant symptoms and cannot move the patient at will, he should immediately contact the emergency center and send him to the hospital to save his life.

In the case of hypertensive brainstem hemorrhage, the acute stage should actively cooperate with the rescue, due to the critical position of the brainstem, the risk of drainage surgery is very high, and more drugs should be taken conservatively. **During the period, pay attention to rest, closely monitor blood lipids, blood sugar and blood pressure to avoid recurrence of the condition, and actively prevent various complications. Timely review of brain CT to understand the changes in the condition.

Regularly turn over the patient to prevent bedsores from appearing, and after the condition is stable, some **** can be carried out to improve the quality of life of the patient.

In short, hypertensive brainstem hemorrhage is a serious threat to the life safety of patients and needs to be actively prevented. The key to the prevention of hypertensive brainstem hemorrhage is to control blood pressure, patients with hypertension should check and take medication regularly, can not reduce or stop medication without authorization, measure blood pressure regularly, detect abnormal fluctuations in blood pressure as soon as possible, and avoid various damages caused by hypertension.

Cerebral hemorrhage is more dangerous, less bleeding can be absorbed by itself, the impact is small, and the bleeding needs to be removed by surgery, which can also lead to the occurrence of sequelae, which needs to be active.

A: Brainstem hemorrhage can be treated. Brainstem hemorrhage can be treated, and brainstem hemorrhage is one of the more serious cerebrovascular diseases.

The brainstem is the life center of the human body, so the prognosis of various nature lesions of the brainstem is generally very poor, and it is difficult to recover, it takes a long-term process, the patient is usually in a coma for a long time, and the brainstem hemorrhage is generally more serious

Some of the brainstem hemorrhages can be treated. Because of the specific location of the brainstem, brainstem hemorrhage generally cannot be operated on**. Brainstem hemorrhage is characterized by high mortality and disability.

However, it does not mean that the brainstem hemorrhage is not saved, the brainstem is also divided into three parts: the midbrain, pontine enceponica, and medulla oblongata, and a small amount of midbrain and pontine hemorrhage can be saved. In addition, ventricular obstruction due to edema after a part of the brainstem hemorrhage can also be performed with external ventricular drainage.

Brainstem hemorrhage is one of the more serious cerebrovascular diseases. The brainstem is the life center of the human body, so the prognosis of various nature lesions of the brainstem is generally very poor, and it is difficult to recover, requiring a long-term process, and the patient is usually in a coma for a long time.

The person is clear that the operation is successful, the person is also clear, and the limbs are weak and moving.

The purpose of the diet** is to protect brain function, promote the repair of nerve cells and function, and achieve whole-body nutritional support. If the patient has no complications and good digestive function, refer to the section on diet for hypertension and coronary heart disease. Patients should be given reasonable dietary advice, and attention should be paid to low-salt, low-fat, and high-potassium diets.

Corrects malnutrition or malnutrition, promotes recovery and prevention**. Patients with severe illness and coma, gastrointestinal bleeding or vomiting should be fasted and given intravenous nutrition. Nasogastric feeding should be started after 3 days, and fruit water, rice soup, lotus root flour juice, and almond cream juice should be the main ones.

150 ml to 200 ml 4 or 6 times a day, gradually increase the dose after the patient adapts, 250 ml to 300 ml each time. Do not overperfuse at one time to prevent vomiting. When the condition gradually recovers, the energy can be increased appropriately, and mixed milk can be given.

The main components of mixed milk are milk, starch, eggs, sugar, salt, vegetable oil, etc. Cocoa powder or dextrin can be increased at any time depending on the condition to improve the caloric and absorption rate of the mixed milk. The amount of mixed milk a patient needs per day varies from person to person and from condition to condition.

Patients with stable condition and no aggravation can be given 1000 ml of 1500 ml mixed milk every day, in which eggs should not be too much to prevent blood cholesterol from increasing and blood viscosity. Warm boiled water tube feeding is also given between mixed milk meals. When the patient is not accustomed to the mixed milk, vomiting and diarrhea may occur, and the mixed milk should be stopped immediately and the homogenized diet or elemental diet should be used instead.

If the patient has systemic failure, intravenous infusion of amino acids and fat emulsion can be given to correct the systemic failure as soon as possible. Patients with general conditions should be given fish, poultry, lean meat, and soy products containing no less than 30 grams per day of low fat and high protein. Cholesterol is limited to less than 300 milligrams and fresh vegetables to more than 400 grams.

It is necessary to supplement adequate vitamin preparations, eat regularly and quantitatively, have a light dinner, and drink water before going to bed to prevent the increase of blood viscosity at night.

Diet for patients with cerebrovascular disease.

In the preparation of the diet of patients with cerebrovascular disease, the following points should be noted:

1) Limit total calories and control your weight within or near the standard weight range.

2) Reduce the intake of saturated fatty acids and cholesterol (cholesterol is limited to less than 300 mg per day), and try to eat less or no fatty meat, animal oil and animal offal with high saturated fatty acids.

3) Eat more foods rich in dietary fiber (whole grains, vegetables, fruits, etc.), and try to eat less sucrose, honey, fruit sugar, pastries, etc.

4) Daily protein should account for 12%-15% of total calories, and contain a certain amount of high-quality protein (milk, eggs, lean meat, chicken, fish, soybeans, etc.).

5) Vitamin C, niacin (vitamin PP), vitamin B6 and vitamin E should be appropriately supplemented; Attention should also be paid to the intake of potassium, magnesium and trace elements chromium, selenium, manganese, iodine, etc.

6) Salt intake is controlled at about 4 grams per day.

7) Eat regularly and quantitatively, with small meals and frequent meals. The best calorie distribution for three meals is; 25%-30% for breakfast, 35%-40% for lunch, 25%-30% for dinner, and can be added between meals.