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How many days does hypertensive brain stem infarction go to reha

Publish: 2021-04-28 11:54:07
1.

According to the actual situation, this is good. You can go to

first

2. The main pathological changes of cerebral infarction are the formation of thrombosis in blood vessels on the basis of cerebral arteriosclerosis, blocking the blood flow, causing ischemia, hypoxia and necrosis of brain tissue, resulting in hemiplegia, aphasia, numbness of unilateral limbs, unstable walking, incontinence of urine and urine, mental disorder, dementia, and even vegetative. Part of brain stem infarction and large-area cerebral infarction can be fatal. Early treatment and early intervention can improve the prognosis of patients and rece disability.
3. Cerebral infarction is e to cerebral atherosclerosis, vascular intima damage makes cerebral artery lumen stenosis, and then e to a variety of factors make local thrombosis, make artery stenosis aggravation or complete occlusion, leading to cerebral ischemia, hypoxia. To treat Xinnaoshutong Capsule, captopril, aspirin and mannitol (1) to guide the patients to rest in bed in the acute stage and take the supine position, so as to ensure the supply of cerebral blood flow and rece the ischemic condition of brain tissue. (2) to maintain the functional position of paralyzed limbs and help the patients do passive movement of affected limbs and joints. (3) to cause the present symptoms, only to restore the cerebral nerve function, Only when the patient's condition is stable, the patient is encouraged to take active exercise. Get out of bed as soon as possible, and carry out training guidance from getting up, limb balance, standing and walking. Graally increase the scope and frequency of activities. Finally, help the patient to go up and down the stairs, so that the affected limb can get exercise, which is concive to the recovery of function, It can directly act on brain cells, promote protein synthesis, resist cerebral cortex hypoxia, improve brain energy metabolism and accelerate cerebral blood circulation, which is concive to the recovery of the disease as soon as possible.
4. Brain stem is the center of human life, affecting breathing, heartbeat, brain stem infarction to return to normal before pregnancy, so as to avoid sequelae. Guidance: blood pressure should be controlled to be normal, taking drugs to inhibit platelet aggregation and prevent thrombosis. It's best to get pregnant after half a year.
5. Swallowing function can be recovered slowly, and further rehabilitation treatment can be carried out after the condition is stable. Acupuncture swallowing practice time is 1 to 3 months
nasogastric tube should be placed in the opposite direction to ince recovery
patients with cerebral thrombosis are generally hypertension, hyperlipidemia, cervical spondylosis and so on, coupled with bad living habits, smoking, drinking, staying up late. In the gastric tube stage, supplementary nutrition can not be maintained by nutrient plasma alone. The patient's mood should be self-regulation, not too anxious, to cooperate with the doctor's treatment. It's important to be in a good mood. After discharge, improve living habits, take medicine on time, and have regular physical examination. I hope the patient will recover soon

thrombolytic drugs can be used within one hour after the onset of the disease
ring the treatment, biochemical examination, nuclear magnetic resonance cardiac blood pressure monitoring, mainly infusion Shuxuetong nutrition nerve, improve blood circulation and vasodilator drugs
if the patient's condition has been relatively stable, it means that the situation is very good. Also remind that because you can't swallow, you will spit frequently. I don't have a good rest. Ask the patient to spit clean, do not rush to the lung, causing lung infection. After high is very serious, will have the impression to the patient's life. Can't avoid will have some choke in the lung, with some anti-inflammatory liquid can be controlled. If there is inflammation and high fever, even if you inform the medical staff for further monitoring, you can be relieved.
6. Aren't you good at neurology? Why ask questions?
7. Cerebral infarction is a common disease, which is acute within 1 month, recovery within 1-6 months and sequelae after 6 months. Patients with cerebral infarction should seize the golden time to take effective treatment plan, the acute phase is mainly drug treatment, supplemented by rehabilitation treatment; The recovery stage is a complete stage of rehabilitation treatment. Through rehabilitation treatment, the patients can get better recovery in 3 months and reach the basic stereotype in 6 months; The recovery effect of sequela period is very little, so the recovery period is very important for the rehabilitation of patients
8. People are still young, and the location of the stem is in the brain stem. It is recommended to go to the rehabilitation center for training. Because my family doesn't listen to the patient's name, the important thing is that I don't know how to exercise scientifically, such as what to pay attention to in the early stage, what to pay attention to in the recovery period, and what to exercise. Even if we find some information, everyone has indivial differences. We can't use the same method. I wish you a speedy recovery
9. Hello,
the current situation is: the hospital considers brainstem infarction, the patient's right half is numb, his mouth is not clear, the disturbance of consciousness is mild (drowsiness or drowsiness), and he is not in a coma. Maybe because of the influence of ventilation after cerebral infarction, he has applied endotracheal intubation and ventilator assisted breathing. The patient had hypertension, diabetes and long-term drinking
the diagnosis should be considered as cerebral infarction, and the specific location is still questionable The following explanation)
because brainstem infarction is the most serious type of cerebral infarction, the patient's condition is the worst, and the mortality rate is high, but your father is not in a coma. Therefore, even if it is brainstem infarction, the infarct area is estimated to be relatively small, or it may be cerebral infarction in other parts
in this case, if the treatment effect is good, it can be improved, and there may be sequelae of one side of the body not working properly and unclear speech. After functional exercise, the degree of sequelae can be reced, but whether it can recover to the level before the onset is still unclear. If the treatment effect is poor, there are many complications, and life is in danger when it is serious
it's not that CT examination can't be done for endotracheal intubation. If you can take off-line for about one hour as you said, and if it's not very difficult for the patient to breathe for one hour, there are still those who can do CT examination. Of course, the risk in the examination process is high. I think CT examination is very necessary, not only for the brain, but also for the lung, to help judge whether the patient needs anti infection treatment and how to deal with the problem of endotracheal intubation. Therefore, if we can create conditions, we should try our best to get rid of CT when patients are relatively safe
besides, it's pure nonsense upstairs.
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