“Only half a month after the year, there is an endless stream of patients due to cerebrovascular disease. The number of inpatients in various wards of the Department of Encephalopathy in our hospital has increased sharply. A considerable number of inpatients are young and middle-aged patients with cerebral infarction.” Yuan Changjie, chief physician of the first district of the Department of Encephalopathy, Hechi Hospital of Traditional Chinese Medicine, said.
The intervention team of the Encephalopathy Department of the Municipal Hospital of Traditional Chinese Medicine is doing angiography for the patient.
Mr. Tan, who lives in Da’an Township, Huanjiang Maonan Autonomous County, finds it difficult to accept. He is only in his early 40s, how could he have this “senile disease”? On the seventh day of the Lunar New Year, Mr. Tan was admitted to the Encephalopathy Department of the Municipal Hospital of Traditional Chinese Medicine for 4 hours due to weakness of the right limb, dizziness, and slurred speech. Symptoms completely disappeared 1 hour after admission, and complete paralysis of the left limb appeared 3 hours later. Emergency angiography showed that Mr. Tan had chronic occlusion of the left common carotid artery and acute occlusion of the origin of the right internal carotid artery. After emergency consultation and operation by interventional experts in the Department of Encephalopathy, Mr. Tan was successfully removed from the occlusion of the vascular embolus. After the surgery, he was supplemented with traditional Chinese medicine rehabilitation treatment. Mr. Tan’s limb muscle strength returned to normal, and he was discharged after 6 days.
Preoperative infarction.
Removal of vascular emboli
In the same ward, just after the third day of the Lantern Festival Mr. Meng, who lives in Dicai Township, Huanjiang County, is in his 40s. He was hospitalized in the Encephalopathy Department of the Municipal Hospital of Traditional Chinese Medicine due to sudden right limb weakness for 1 day and slurred speech for 2 hours without obvious incentives. After admission, DSA angiography confirmed that Mr. Meng had left internal carotid artery occlusion. On admission, the patient was conscious, the muscle strength of the right limb was grade 3, the anterior communication was open and the left posterior cerebral artery leptomeningeal compensatory blood supply, and the conservative medical treatment effect was not good; the next day, near noon, the patient was in a coma, and the muscle strength of the right limb was grade 0. . In response to Mr. Meng’s condition, the interventional team of the Encephalopathy Department quickly consulted and opened a green channel urgently to perform left intracervical balloon dilation + left middle cerebral artery thrombectomy + stent implantation for Mr. Meng. The operation went well, and Mr. Meng is out of danger and is currently undergoing rehabilitation.
Preoperative infarction.
Vascular emboli removed.
In recent years, the trend of cerebral infarction is getting younger and younger, especially the number of people in their 40s is increasing. The main reasons for cerebral infarction are as follows, and most of these reasons come from an unhealthy lifestyle. Therefore, in order to maintain a healthy body, we must abandon the unhealthy lifestyle, prevent cerebral infarction, and say “NO!” to the thrombus.
The main cause of cerebral infarction
Hypertension
Hypertension is a very important risk factor for cerebral infarction, and it is also relatively common. The risk of cerebral infarction in hypertensive patients is 7 times higher than that of normal people. Therefore, it is necessary to pay attention to controlling blood pressure within the normal range, and patients with hypertension should do a good job in the prevention of cerebral infarction.
Hyperlipidemia
Excessive amounts of fat in the blood can lead to the accumulation of fat on the inner walls of arteries to form fatty plaques, leading to the development of atherosclerosis, which can also cause atherosclerosis. cerebral infarction. Therefore, with high blood lipids or high cholesterol, measures must be taken to reduce them, and drug treatment should be used if necessary.
Diabetes
The risk of cerebral infarction in diabetic patients is also very high, about 10 times that of ordinary people. Such a high probability makes diabetic patients pay enough attention. Diabetes is one of the basic diseases of patients with cerebral infarction, so it is necessary to control blood sugar and prevent various complications of diabetes, especially macrovascular complications.
Smoking and drinking
A clinical study shows that more than 50% of patients with cerebral infarction will have a long history of smoking and drinking. Because smoking can cause lipid and fibrinogen levels in the blood to increase, increase blood viscosity. Drinking alcohol can increase the level of alcohol in the blood, causing cerebral vasoconstriction and spasm. So try to stop smoking and limit alcohol in your daily life.
Unhealthy diet
People take food as their priority. Diet is very important. Unhealthy diet will lead to a series of diseases. If the diet is always high in fat and salt on weekdays, there is a high chance of suffering from high blood pressure and high blood lipids, both of which are prone to cerebral infarction. Pay attention to the diet structure every day, eat more vegetables and fruits, and adhere to the dietary principles of less salt, less oil and low fat, especially those at risk of cerebral infarction.
Irregular living and resting
Irregular living, such as staying up late, irregular or unreasonable diet, and excessive work pressure, can also easily lead to cerebral infarction. It is necessary to avoid staying up late in daily life, have regular daily life, appropriate physical exercise, regulate emotions, and avoid emotional stimuli such as ecstasy, anger, and anxiety.
The experts from the Department of Encephalopathy of the Municipal Hospital of Traditional Chinese Medicine remind: pay attention to regular physical examinations every day, and intervene in time if problems are found. In the event of slurred language, difficulty in speaking, or slanted corners of the mouth, slanted tongue, numbness and weakness of one limb, or severe dizziness, sudden loss of eye vision, visual field defect, etc., immediately call 120. , go to the hospital with the ability to treat as soon as possible, so as not to miss the best time for treatment.
Author: Wei Chunchan, Social Media Correspondent of Hechi Daily
Editor: Tang Jieyun
Proofreader: Wei Lichun
Duty teacher: Tan Lixian
Duty editor: Qin Yaoyu
