How to examine and treat during acute cerebrovascular disease?Cerebrovascular diseases, commonly known as cerebral strokes, including cerebral infarction and brain haemorrhage, are one of the serious health problems, and in recent years morbidity, mortality and disability rates have been increasing, with an under-age trend. The acute period of early detection and treatment of cerebrovascular diseases is key to reducing mortality and mortality. Therefore, in order to raise public awareness about acute check-ups and treatments for cerebrovascular diseases, what are the common methods used for this purpose?I. How is the acute period of cerebrovascular disease examined?The procedure for the acute examination of cerebrovascular disease should include the following five steps: 2 Elimination of haemorrhagic skulls through CT and MRI tests. The severity of the brain is assessed on the basis of the degree of neurological dysfunction. 4 Checking of lactation certificates and taboo certificates. 5 Reference is made to TOAST standards to determine the cause of the disease, taking into account the medical history, laboratory, brain and vascular conditions. So, some of the common methods are described below, and how do they work?1.1 Head CT scanThe primary examination in the acute phase is a timely C.T. scan of the head, mainly for patients with early and non-symptomatic changes in the cerebrovascular morphology. The early examination of the intracircle pathology is a determination of whether the patient suffers from hemorrhagic cerebrovascular disease or ischaemic cerebrovascular disease, in short, a cerebral haemorrhage or cerebral infarction.1.2 MRI InspectionMRI is a unique, radiation-free, safe and reliable inspection method. The diagnosis of acute cerebrovascular diseases is particularly accurate. Super-acute brain infarction (up to 6h after the onset of the disease) and MRI screening priority. The MRI checks for high sensitivity and does not have the effect of a false skull and can take images from various angles. It can detect diseases and detect symptoms directly more quickly than CT.1.3
Optimal screening for cerebrovascular disease
During the acute period of cerebrovascular haemorrhage, CT tests are sensitive and MRI examinations are not necessary. In subacute and chronic periods of haemorrhage, MRI is more of a screening value than CT, in which SWI (magnetic sensitivity imaging) can detect small haemorrhage stoves.1.4 Other relevant necessary inspectionsOther tests such as EKGs, blood routines and coagulation functions are also necessary. Once the condition has stabilized, it is followed by an examination of the causes of intracranial vascular diseases, such as the different series of MRIs, which forms the basis for the secondary prevention of cerebrovascular diseases.II. How is the acute period of cerebrovascular disease treated?2.1 General treatmentThese include oxygen inhalation and heart examination, body temperature management, blood pressure management, blood sugar measurement, nutrition management, etc. Control of blood pressure and blood sugar is individualized, prudent and proportionate. Controlling blood sugar values at 7.7 ~ 10 mmol/L within 24 hours of a brain infarction prevents a sharp decline in blood pressure and blood sugar values.2.2 Sexual treatmentThey include improving brain circulation, carnal and neuroprotection.2.2.1 Discharge treatmentAnalytic treatment is the most effective treatment to reduce the mortality and morbidity of persons with cerebral infarction in acute periods. The rapid recovery of blood in the ischaemic region through the dissolution of the leachate has served the purpose of saving the ischaemic neurons.2.2.2 Angiological treatmentIncludes mechanical bolts within the veins, arteries, etc.2.2.3 Anti-sculpture treatmentAmong the most commonly used drugs are aspirin and chlorprorey.2.2.4 Condensation treatmentThe use of anticondensants during acute periods is generally not recommended to prevent the recurrence of strokes, to prevent the deterioration of symptoms or to improve the prognosis. Many cases of acute ischaemic brain infarction begin to undergo anticondensation treatment for secondary prevention 4-14 days after the onset of the disease.2.2.5 amplificationIn many cases, ambulatory treatment is not recommended. The amplification applies to patients with acute brain infarction due to low blood pressure or low brain blood flow.2.2.6 Improved brain circulationIn addition to the restoration of large blood vessels for the treatment of acute ischaemic brainheads, there is a need to improve the level of endurance of the brain cycling in order to improve the prognosis.2.2.7 HistamineIn order to improve the prognosis of acute ischaemic strokes, patients who have taken histogenic drugs before an acute ischaemic stroke can improve their prognosis.2.2.8 Brain protection therapyAfter the theory that neuroprotective drugs can improve the prognosis of people with ischaemic strokes, animal studies show that neuroprotective drugs can improve the lack of nervous function. However, the findings of the clinical study are not consistent.2.3 Treatment of complicationsPatients often experience a combination of cerebral oedema and intracircle pressure, so that the treatment aims to reduce the internal pressure of the skull, maintain sufficient brain infusion and prevent the occurrence of encephalus.SummaryIn general, the examination of cerebrovascular diseases such as carotid ultrasound and MRI are the main clinical tests that require attention in cases of risk. Early identification and timely treatment can effectively reduce the harm caused by cerebrovascular diseases and improve the quality of life of patients.
