Clinical management during acute brain infarction

Brain infarction is a common disease and a major cause of death among the elderly in our country, especially during the acute period of brain infarction. Compared to the stabilization period, acute mortality during brain infarction is higher, which increases the risk of multiple complications and after-effects, with serious consequences for the life of the patient after treatment. Clinical belief is that clinical management of acute brain infarction should be proactively strengthened in order to improve the prognosis and save patients ‘ lives. So, how do you manage clinically during acute brain infarction? This question is answered below.1 Management of clinical treatment during acute brain infarction1.1 General treatment(1) The patient shall be careful to rest in bed after the onset of the disease and to enhance care.(2) Reasonable control of blood pressure, which may increase the risk of vascular damage when blood pressure continues to rise, shall be actively managed in accordance with the patient ‘ s circumstances.(3) Control of blood sugar is mainly due to the fact that high blood sugar can increase brain damage when the patient is acutely strewn, and if there is a high blood sugar, the insulin sugar should be used.(4) Maintenance of balance of substances such as water, electrolyte and acid alkali for patients, treatment of symptoms and timely treatment of corresponding complications.1.2 Discharge treatment(1) Adaptive condition: Includes age <75, time window for onset within 6 hours, blood pressure < 180/110 mmHg, unconscious disorder, CT examination to remove cerebral haemorrhage.(2) Solvent drugs: tissue-based fibre-solved pre-activators and urine-strength enzymes.(3) The general application of treatment within six hours of the onset of the disease has the effect of achieving an vascular remission rate of 66%.(4) Angioplasm is generally required to identify the areas of the angiogenesis before the embolism is dissolved, followed by a catheter and a microconductor.1.3 Other treatment programmes(1) Mechanical re-entry: primarily for patients with circulatory acute closure eight hours before the onset of the disease; an vascular re-routing rate of 79% and a pre-pregnosis good rate of 57%; however, it needs to be noted that for closed vascular vessels, if they cannot achieve the intended treatment after three operations, the re-equipment of the device or the determination of the pathology.(2) Angioplasty: mainly applied to patients who are assessed in a time window as core infarction, and who are confined in narrow combinations; divided into scysts or scaffold implants; however, attention is drawn to the ease of vascular convulsions in treatment and to the risk of haemorrhagic transformation following treatment with long periods of antiscultation.(3) Anticondensation treatment: The main drugs in clinical anticondensation treatment are heparin, low molecular heparin and Wafalin. However, some moderate- and heavy-weight patients do not recommend anticondensation treatment in their clinical settings.(4) Fibrotherapy: Drugs commonly used in clinical settings include barases, decompression enzymes, anacase, etc.(5) Anti-blood tablet group treatment: The usual drugs include aspirin, chlorprorey.(6) Treatment of patients for brain protection, i.e. Idarafom, choline choline cytophos, Zolasitán, etc., shall be treated for rehabilitation as soon as the condition has stabilized.2. Management of clinical care during acute brain infarction2.1 SAFE CAREIn case of acute cerebral infarction, there may be complications such as paraplegic paralysis, when the patient ' s mobility is limited, which can lead to events such as falling, falling into bed, etc., when safe care is required to prevent the patient from falling or falling into bed. In particular, patients who suffer from agitation need to be managed by additional fences, binding protection, etc.2.2 Psychological careEmotions also contribute to the stability of the disease, and if the patient suddenly turns into a brain in a quiet state, The acute period of death can lead to situations of mental anxiety, such as when psychological care is needed to alleviate the negative mood and stress so that the patient can cooperate actively with the treatment.2.3 Prevention of complicationsThe risk of acute brain infarction causes multiple complications, such as lung infections, scabies, difficulties in swallowing, and reverse missorption, which have an impact on the patient ' s treatment and recovery, hence the need to strengthen the patient ' s physical care and insinuation prevention and to actively prevent multiple complications.2.4 Exercise managementThe acute period of brain infarction can lead to a number of after-effects, such as paralysing, oscillation, speech impairment, etc., when rehabilitation and exercise guidance are required to help the patient recover quickly, and when the patient ' s physical function is restored through active and effective rehabilitation and exercise measures.2.5 Environmental careThe wards are kept quiet and clean, and there is regular ventilation in the windows to create a good hospital environment for patients.2.6 Life managementPatients are ordered to eat more low-salt, low-fat, high-nutrient, digestive diets, who are unable to feed their food via mouth, and to eat a small amount of food, avoiding rough, dry and irritating food.The patient should be instructed to develop a good habits, avoid staying up late and promote physical rehabilitation.SummaryPatients during acute cerebral infarction usually have the characteristics of rapid and critical state of condition, when active and effective clinical management is required to save a patient ' s life by combining treatment and care programmes to improve the delivery of treatment.