Cerebral vascular occlusion is the result of brain blood supply disturbance caused by brain hypoxia and ischemia, necrosis, softening, formation of infarction of cerebral vascular diseases.
There are two reasons:
①the cerebral arterial wall due to atherosclerosis or other factors causing luminal stenosis, occlusion and even cause focal cerebral infarction, called the cerebral thrombosis;
In other parts of the body of the embolus shedding, such as extracranial arterial wall plaque dislodged thrombus fragmentation, or the heart of the mural thrombus dislodged debris, valvular vegetations shedding, into the cerebral circulation, resulting in a cerebrovascular occlusion and the formation of focal cerebral infarction, called the cerebral embolism.
Treatment
One, principle of treatment of acute large area cerebral infarction should be timely application of dewatering agent, eliminate brain edema, on general infarct are advised to application of antiplatelet aggregation drugs, calcium antagonists, vasodilators to prevent the formation of new infarction and the strengthening of collateral circulation, in order to facilitate the lesion repair.
Two, conventional treatment
( a ) in acute phase treatment. ①dehydrating agent, to a larger area of infarction should be timely application of dehydration therapy;②anti-platelet aggregation drugs, low molecular dextran, heart, kidney disease patients with caution. In addition, oral administration of small dose of aspirin, have a tendency to hemorrhage or ulcer disease patients with disabling;③calcium antagonists, can choose the cinnarizine, flunarizine hydrochloride ( sibelium );④vasodilator agents.
( two) recovery treatment ( treatment of hemiplegia ). Continuing oral antiplatelet aggregation drugs, calcium antagonists, but we should strengthen exercise, rehabilitation treatment, after 3 ~ 6 months can living.
In three, operation treatment such as large area infarction caused by acute intracranial hypertension, except for dehydrating agents, if necessary, surgical operation decompression, to relieve symptoms.
Four, nursing care
( a ) in rheumatic heart disease caused by cerebral vascular occlusion in patients with acute phase should be strict with absolute bed rest, avoid meal. Help the patient to turn over when the action should be light, and maintain defecate unobstructed;
( two) to other cerebrovascular occlusion patients should be regular body-turning, pat on the back, to prevent the occurrence of pressure ulcers and pulmonary infection. At the same time with the rehabilitation treatment, promote the recovery of the paralyzed limb. Five, traditional Chinese medicine, acupuncture, massage, Chinese medicine for this disease prevention and rehabilitation have better curative effect, should generally be dialectical therapy, the use of activating blood circulation to dissipate blood stasis, collaterals prescription therapy, acupuncture, massage, recovery of function, very favorable.
The above drug dosage and usage, may be prescribed. Necrosis, softening, formation of infarction of cerebral vascular diseases
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