Tuesday, June 23, 2020

Management of acute cerebrovascular disease

Acute cerebrovascular disease refers to a group of diseases with sudden onset of cerebral vascular circulation disorders, which can be sudden thrombosis of cerebral blood vessels, ischemic cerebral infarction caused by cerebral embolism, or cerebral hemorrhage caused by rupture of cerebral blood vessels, often accompanied by Neurological symptoms, limb hemiplegia, aphasia, mental symptoms, dizziness, ataxia, choking, severe coma and death, also known as cerebrovascular accident, stroke or stroke in clinical.

Symptoms:

(1) Language barrier, unclear speech.

(2) Sensory disturbance, sudden numbness on one side of the body or face.

(3) Dyskinesia, weakness of one limb.

(4) Visual impairment, sudden blurred vision in one or both eyes, and decreased vision,

(5) Ataxia, dizziness, loss of balance, accidental fall, and unstable gait.

(6) Mental state changes and lethargy.

(7) Sudden severe headache and so on.

First aid principle:

(1) The patient is lying on the ground. Do not drag or pull the patient. Unfasten the button on the collar of the patient, keep the breathing smooth, and open the window to maintain air circulation.

(2) Keep the patient's head to one side to prevent accidental aspiration, record blood pressure and blood glucose conditionally, and try to keep the head stable.

(3) Do not give blood pressure lowering drugs to stroke patients, especially early stroke patients (if it is cerebral infarction, it should maintain enough blood pressure to ensure blood supply to the brain), which is very dangerous.

(4) At the same time as placing the patient, call the emergency service immediately.

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