The consequences of cerebral infarction are serious, how to quickly judge and treat them in time?

To judge cerebral infarction, we must first look at whether the left and right sides of the face are symmetrical, whether there is a crooked mouth and slanted eyes, if so, it is almost certain that it is a stroke; Second, let the patient's upper limbs straighten forward for 10 seconds, and observe whether the patient has unilateral weakness in both arms and cannot lift flat; Third, ask the patient to speak and observe if he or she suddenly has difficulty speaking, or even cannot speak or does not express his meaning. If any of the above symptoms occurs, the possibility of cerebral infarction is very high, and you should call 120 quickly and seek medical attention in time.

**The key to cerebral infarction is to get blood into the ischemic brain tissue as soon as possible. Thrombolysis, surgery, and intervention are commonly used methods for cerebral infarction. At the same time, in the acute stage of cerebral infarction, drugs to protect nerves and improve microcirculation should also be used.

Tongxinluo capsule has a good effect of protecting microvascularity and improving microcirculation. Chuxin's research found that Tongxinluo Capsule can prolong the survival time of microvascular endothelial cells in ischemia and hypoxic environments, ensure the structural integrity of microvessels, promote microangiogenesis, and significantly improve the prognosis of patients.

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.

Cerebral infarction is a cerebrovascular disease due to cerebral atherosclerosis, vascular intimal damage that narrows the lumen of cerebral arteries, and then causes local thrombosis due to a variety of factors, which aggravates or completely occludes the arteries, resulting in ischemia, hypoxia, necrosis of brain tissue, and neurological dysfunction.

The main factors of cerebral infarction are: hypertension, coronary heart disease, diabetes, overweight, hyperlipidemia, liking fatty meat, and many patients have a family history. It is more common in middle-aged and elderly people aged 45 to 70 years.

Of course it's serious, but what disease isn't serious? The three highs will cause cerebral infarction, and if it is serious, it will have to be bypassed, and thrombolysis will be required

Cerebral infarction is mainly treated with drugs and surgery**:

Drugs**. Intravenous thrombolytic drugs.

The accepted time window for intravenous thrombolysis** is within hours of onset. Recombinant tissue plasminogen activator thrombolysis** can significantly improve patient outcomes, and the earlier the initiation,** the better the clinical outcome. Patients with intravenous thrombolysis should be admitted to the stroke unit for monitoring, and the risk of severe bleeding from thrombolysis** is about 6%.

Arterial thrombolytic drugs.

Arterial RT-PA thrombolysis may be beneficial in stroke patients with occlusion of the main intracranial arteries, severe neurologic deficits, symptom onset of less than 6 hours, and failure to receive intravenous thrombolysis**, but it should not preclude intravenous thrombolysis** within the time window**.

Antiplatelet drugs.

Antiplatelet therapy is recommended for patients who cannot be thrombolyzed**, and clinical guidelines recommend aspirin. The combination of clopidogrel and aspirin is not recommended for patients with recent ischemic stroke, with specific indications, such as unstable angina, myocardial infarction without Q waves, or recent stenting. **Should be continued until 9 months after the event, and patients who continue to have stroke despite antiplatelet therapy are advised to be re-evaluated for their pathophysiology and risk factors.

Neuroprotectants.

Such as edaravone, citicoline, etc., neuroprotection** targets all aspects of ischemia-reperfusion injury.

Antibiotic infection control and prevention of pneumonia and urinary tract inflammation, and prophylactic antibiotics may be required in patients with severe stroke.

Low-molecular-weight heparin is pre-preferred for anticoagulants, and oral anticoagulants, such as warfarin, are usually required in the long term**, and low-intensity anticoagulation can play a role in preventing pulmonary embolism.

Insulin: When the blood glucose is 10 mmol L, insulin infusion is given to lower the blood glucose. High blood sugar may be a stress response after stroke, and some people have blood sugar levels that drop spontaneously. Intravenous saline within the first 24 hours after stroke and avoidance of glucose solutions can lower blood glucose levels.

Hypoglycemia should be avoided and hypoglycemia should be given as intravenous glucose infusion or 10% to 20% glucose infusion.

Statins.

Lipid lowering should be started as soon as possible in the acute phase**, especially in patients with cerebral infarction due to atherosclerotic plaque shedding or atherosclerotic vascular stenosis, and the use of statins is beneficial to stabilize plaques and reduce vascular stenosis.

Surgery**. Carotid endarterectomy and stent intervention.

Carotid endarterectomy, angioplasty, and stenting may be performed if carotid and intracranial artery stenosis is found after the onset of cerebral infarction**. Different interventions should be chosen based on the degree of arterial stenosis and, secondly, depending on factors such as different degrees of stenosis.

Resection: For malignant cerebral infarction that causes increased intracranial pressure and brainstem compression, hemicranectomy and dural resection to remove the frontal lobe are options. Younger patients with no improvement in symptoms require additional surgery, i.e., resection of stroke brain tissue to remove part of the frontal or frontal lobes, and the timing and indications for these decompression procedures remain unclear. Intracranial pressure is rapidly reduced by intraventricular catheter drainage, and suboccipital craniorectomy can relieve hydrocephalus and brainstem compression caused by cerebellar infarction.

Medications**, Surgery**, ****, Other**.

It happens all the time, and it feels so frequent.