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bone infarction
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bone infarction
common causes

bone infarction is also called ischemic stroke, (fā)sick 4.5 hours (sh the)in (n andi)it is the golden period of treatment! according to (jù)different causes ,use" TOAST tags (biāo)未分 (zhǔn)」bone infarction can be divided into 5 piece (g and)type ,right (du the)patients with acute brain infarction (j then)cause classification helps to determine (yù)after, guide (dǎo)treatment and selection of second grade (j the)absolutely (yù)preventive measures 。

big (d orng)porridge hardening type: refers to the effect of (d orng)bone infarction caused by sclerosis can be obtained through (gu or)neck movement (d orng)extrasound check (fā)now (xi ton)neck movement (d orng)closed or narrow.

cardiac embolism type: refers to the production of multiple types (chǎn)brain infarction caused by cardiac disease that produces cardiac embolics ,room food is most common.

tips (d orng)pelvic or lacunarity type: this type of brain infarction may have lacunarity (small penetration of brain (d orng)small infarction foci formed by cervical tract )performance of (xi ton),if the lightness is pure and pure 、feel (ju and)abnormal ,imaging (xu and)check it out (fā)now (xi ton)lesion 。

other definite etiologies: refers to brain infarction caused by a definite disease, such as infectiousness 、immune, non-immune vascular disease 、high condensation state (t toi)、blood disease 、acute brain infarction caused by heterogeneous vascular disease and drug use 。

unexplained cause: this type of patients with brain infarction (jīng)multiple inspection failed to detect (fā)now (xi ton)causes of 。

we? c and)chen jian Iscandal shame @there are some factors that can reduce the incidence of kidney infarction (fā)probability of birth 。including hypertension 、heart disease (especially the room )、diabetes 、anomalous blood lipids 、sucking smoke 、alcoholism 、lack of transportation (yùn)move (d orng)、obesity and malfunction (wú)the horny movement (d orng)narrow and short brain ischemic (fā)make a wait 。

check and diagnose

when (dāng)suspected of a brain infarction (sh the)the following checks are required:

1、brain disease change examination: as the head CT and MRI wait. right (du the)for patients with hyperacute brain infarction ,imaging (xu and)check to the (guān)important. as early as possible, determine the size of the disease ,scope, in (j then)showcase ,the accuracy of clinical diagnosis and the choice of treatment were decided.

2、vascular disease change examination: including vein (d orng)color ultrasound, (jīng)torpole (TCD)、magnetic resonance angioimaging (MRA)、CT angiography (CTA)and number (shù)word snippet angiography (DSA)wait 。大发 (n andi)、external vascular disease change detection helps understand the development of brain infarction (fā)sick machine (jī)and causes ,guidance (dǎo)choose a treatment plan.

3、other important tests: such as blood sugar, blood lipids 、liver and kidney function and electrolysis quality (zh the),cardiograms and myocardial ischemia marks (biāo)chronicles ,whole blood (j the)number (shù),coagulation function ,oxygen sum ,chest X line check.

4、some patients need to do: toxicology (xu and)(heavy metal poisoning )review ,blood alcohol levels ,pregnancy test (y ton),move (d orng)blood? dú)treatment? if you are suspected of hypoxia ),waist pants (suspicious spider network (wǎng)submembraneal hemorrhage CT not shown or suspected of brain infarction 、suspicion continues (fā)infectious diseases ),brain picture (suspected (fā)do )。

dietary lesbian

in daily life of patients with brain infarction (yīng)in the range you can tolerate (n andi),more running (yùn)move (d orng)。even the elderly do the light (yùn)move (d orng),like walking ,also has (yù)prevent recurrence of kidney infarction (fā)the role of ,eat more vegetables, fruits and coarse foods in your diet ,keep your bowel movements smooth ,avoid smoke and drink 。

low-salt diet: when cooking (sh the)be careful to put less salt ,use less salt-containing tuning (di too)material ,eat less pickled vegetables 、marinated meat, etc. 。

low-fat diet: while cooking (sh the)less oil ,use vegetable oil instead of (d orng)eat less fried foods 。

low-sugar diet: drink less sweet drinks ,eat less sweets, don’t just eat rice noodles with staple food ,can be used in rough 、bluish beans 、potatoes, pumpkins and other alternatives to some staple foods 。

business (y theng)未分 (yǎng)balanced: reasonable combination of elixir ,meat first choice for chicken duck and other white meat ,eat less fat, chicken and eggs 、milk is protein (zh the)and other businesses (y theng)未分 (yǎng)material (zh the)the important thing (l toi)source; if it is a vegetarian ,you can eat more beans and soy products (l toi)refresh (bǔ)fill in protein.

treatment method

if you are suspicious about someone else in your life (fā)bone infarction ,should (yīng)first choose the nearest doctor (yī)emergency clinic or neurology in the hospital (jīng)inside (n andi)clinic ,if the brain is infarction, it is a serious (y ton)recent move (d orng)caused by narrow veins ,need to the nerves (jīng)surgery or neurological (jīng)interventional surgery (shù)or intervene in treatment 。at this time (sh the)hour (sh the)the brain is ,correct and timely (sh the)treatment can preserve brain function as much as possible 。

patients with brain infarction (fā)sick 4.5 hours (sh the)inside (n andi),suitable patients can receive thrombolysis treatment, more than (gu or)this (g and)hour (sh the)post-thrombolysis treatment will do more harm than good ,the purpose of thrombolysis treatment is to develop in the brain (fā)after birth, (gu or)medical (yī)methods of time ,quickly re-energize blood vessels ,recover (fù)blood flow supply (yīng),avoid more details (x the)cellular (zhǎng)hour (sh the)death with ischemia and hypoxia 。thrombolysis treatment mainly includes (d orng)plexiglycemic and static plexiglycemic 。exceeded after brain infarction (gu or) 4.5 hours (sh the),the effect of medicine treatment is greatly reduced 。

in (fā)sick 24 hours (sh the)inside (n andi),suitable patient (jīng)pass (gu or)review (p theng)estimate ,also, there is an organic (jī)can (hu the)acceptor (jī)mechanical thrombectomy treatment ,machine (jī)mechanical thrombectomy ,it is by (gu or)stock trading (d orng)puncture ,deliver the bolt-retrieval device (d to)the location of blood vessels ,remove the blood clot ,recover blood flow (fù)technology (shù)method 。

then to the later stage ,treatment can only be done to control infection and other concurrent treatments (fā)the key point (diǎn)now. so ,must fight for kidney injury (zhēng)in seconds, you can’t delay!

the treatment of brain infarction is mainly divided into the following 3 (g and)part:

1、general treatment

oxygen inhalation and respiratory support: patients with hypoxic blood (blood oxygen concentration is less than 92% or blood? dú)to treat liusong to save the evil? (yīng)give oxygen inhalation ,airway function is serious (y ton)those with severe obstacles should (yīng)give support to the road (intubation or cutting of gas tube )and help breathing.

heart-stricken (jiān)可 (c and)treatment of cardiac disease: 24 hours after brain infarction (sh the)inside (n andi)should (yīng)frequently (guī)in (j then)xingxin electrical diagram check ,when necessary (sh the)in (j then)xingxin electrical monitor (jiān)protection (hù),in order to develop early (fā)now (xi ton)heart disease changes (j then)check it out (yīng)handle 。

temperature control: yes (du the)patients with elevated body temperature should (yīng)clearly proven (fā)hot cause ,if there is an infection (yīng)treat antibiotics 。right (du the)temperature > 38 ℃ patients should (yīng)give heat-reducing measures.

blood pressure control: about 70% acute elevation of blood pressure in patients with brain infarction ,patients often have kidney and kidney dysfunction, (yī)usually, i don't know how to do it (hu the)request to drop blood pressure to normal immediately ,instead, it is slightly lowered (gu or)high blood pressure ,control blood pressure gradually 。some patients may (hu the)appear (xi ton)hypotension ,should (yīng)extremely find out the cause, give me a response (yīng)handle.

blood sugar control: about 40% patients with hyperglycemia after brain infarction ,right (du the)absolutely (yù)unfavorable afterwards ,should (yīng)in (j then)take control. hypoglycemia after brain infarction (fā)lower birth rate ,despite the lack of (du the)clinical tests for their treatment (y ton),however, due to hypoglycemia, it can be directly affected (dǎo)causes ischemia and aggravation of kidney hydration, (du the)absolutely (yù)unfavorable afterwards ,therefore (yīng)as quickly as possible, correct hypoglycemia.

business (y theng)未分 (yǎng)support: after infarction, vomiting 、neuros (jīng)paralysis (dǎo)causes dizziness in swallowing (bulb paralysis )can cause water discharging and burning (y theng)未分 (yǎng)bad, can (dǎo)to the nervous (jīng)function recovery (fù)slow down 。can be normal (jīng)mouth (j then)eater ,without (wú)need extra (bǔ)recharge (y theng)未分 (yǎng);can't do it normally (jīng)mouth (j then)eaters can eat (nasal tract is the insertion of the gastric tube from the nostrils (j then)into the patient's stomach ,by (gu or)a method of feeding food into the patient's stomach by gastric tube ),persist (xù)hour (sh the)intercourse (zhǎng)those who can be feasible (jīng)leather (n andi)symptomy gastroscopic tube replenishment (bǔ)recharge (y theng)未分 (yǎng)。

2、extraordinary treatment

special treatment tips for brain infarction (du the)ischemia injury pathophysiology (jī)a specific case in the system (hu ton)seminar (ji and)in (j then)ok date (yù)。it mainly includes the following (g and)aspect:

improve brain circulation (hu ton):including thrombolysis (such as reorganizing lysosomal activators 、urokinase )、machine (jī)mechanical thrombectomy 、antiplatelet aggregation (such as aspirin )、anticoagulation (rufalin )、reduce the (such as sludge enzyme, batrease )、pull (ku or)allow (such as various slurry (ku or)vascular medicine )ways 。

neuros (jīng)protect (hù):in theory, the neural (jīng)protect (hù)drama (like nemodiping 、phosphate )protectable (hù)brain deficiency (x the)cell ,improve (du the)tolerance of ischemia and hypoxia 。however, its efficiency and safety still need to be improved (j then)one-step verification (sh the)。

other methods: such as butylphenylene, human urokininase (uriklin )wait ,reduce nerves (jīng)hurt ,promote (j then)neuros (jīng)function recovery (fù)。

3、acute phase concurrent (fā)treatment of sausage 。

point (diǎn)open
medication performance (xi ton)

patients with brain infarction often develop during sleep or morning (fā)sick ,bone infarction symptoms are based on (jù)the damage site, the size of ischemic blood vessels 、ischemia (y ton)heaviness, degree (fā)have some pre-morbidity (wú)other diseases ,and some (wú)merge other important machine diseases and other related (guān),the light can be completely gone (m andi)there is a scattered ,that's not (wú)hyperacterial brain infarction 。it can also express (xi ton)not retaliated (fù)send (fā)the body is irritated or dizzy ,short-term ischemic (fā)do ,in severe cases, there can be more than just physical swelling. ,it can even be acute coma. die 。if the disease affects the brain's cortex (zh the),can be expressed in acute stage of brain vascular disease (xi ton)not appearing (xi ton)injection (fā)do ,usually in (fā)one day after illness (n andi)appear (xi ton)the highest rate, and the first (fā)the brain vascular disease is less common ,common germs are:

1、main viewing condition: head pain 、dizzy 、head, dizzy 、suffering and exhaling (yùn)move (d orng)sex and (or )feel (ju and)sexual abstinence (yǔ)。most (shù)patient's consciousness (sh the)wide awake ,a few (shù)there may be different degrees of perception (sh the)obstacles ,general life signs (wú)apparently changed 。if the brain hemisphere is more large, it will be infarcted 、ischemia 、hydrocephalus can affect the function of brain and brain dryness ,appeared shortly after onset (xi ton)idea (sh the)disorders, even hernia 、die. if (fā)i've been interested in it after illness (sh the)not clear ,needle-basal movement (d orng)pulse system (tǒng)bone infarction.

2、brain nerve (jīng)symptom: double eyes facing the lesion (c and)gel 、mesogenic facial and tongue swelling, pseudo-medidal ductile paralysis such as drinking cough and dysphagia 。

3、physical symptoms: limbs are biased or slight, body tilted (ju and)retreat 、step (t toi)unstable (wěn)、limbs are not (wú)force 、incontinence, etc. 。

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