Learn to help!Doctor experts: "Be Fast" tactics teach you to quickly identify "stroke"

Text/Yangcheng Evening News all -media reporter Liu Xinyu Correspondent Zhen Xiaozhou

Photo/Interviewee provided

"The stroke is the first major disease of the Department of Neurology. Once it happens, it is necessary to rush to the hospital for treatment, otherwise it may cause a tragedy of non -dead or disabled." On September 23, the reporter's third hospital affiliated to Zhongshan University (hereinafter referred to as Zhongshan The Third Hospital) In order to promote the standardization of the treatment of patients with stroke patients and improve the ability to treat the treatment of patients with stroke patients, the ability to promote the treatment of patients with strokes On the basis of the stroke center of this courtyard, a systematic architecture construction was carried out. With nearly 60 medical units in Guangdong, it led the establishment of the Stroke Center Alliance to build a 5 -hour stroke treatment time in the province. Pain contributed to reducing the mortality of stroke and the disability rate.

meeting venue

The burden of Chinese strokes is heavy, and there are about 1.5 million patients who die every year

"Stroke, commonly known as stroke, is a group of acute cerebrovascular diseases that cause blood tissue damage due to the sudden rupture of the brain blood vessels or obstruction of the blood. ) And hemorrhagic stroke (that is, cerebral hemorrhage and subjuilder subeopia cavity). "Professor Lu Zhengqi, director of the Neurology Department of Zhongshan Third Hospital, said that stroke can lead to paralysis of limbs, dysfunction, swallowing disorders, difficulty swallowing, and cognitive disorder Symptoms such as mental depression have the characteristics of high incidence, high recurrence rate, high disability rate and high mortality, and heavy economic burden.

According to him, research on the burden on the burden of stroke diseases released in February 2017 showed that according to statistics from 2012-2013, the prevalence, incidence and mortality of age standardized were 1114.8/100,000 people, respectively. , 246.8/100,000 people and 114.8/100,000 people. In cases of stroke and diseases, ischemic stroke accounted for 69.6%and 77.8%. According to epidemiological survey data, there are currently about 18 million stroke patients in China, 1.8 million new strokes each year, and about 1.5 million patients who die every year.

Figure/Yangcheng Evening News Data Map

And as the lifestyle changes, cardiovascular and cerebrovascular diseases have risen rapidly. Among them, cerebral vascular disease super tumors and coronary heart disease are ranked first among the country's death and disability. At present, the incidence is still close to 9% per year per year. The speed increases. The burden of Chinese strokes is still very heavy.

Be wary of the symptoms of stroke, identify as soon as possible, and prevent and control scientific

Professor Hu Xueqiang, the chief expert of the Neurology Department of Zhongshan Third Hospital, said that the sooner you arrive at the hospital, the sooner you receive treatment, and the more brain cells to save, the focus of early stroke treatment. "Varicic thrombolytic treatment and intravascular intravascular treatment are the method of effectively restoring vascular re -communication. Whether it can be achieved is the most important factor in the hospital time."

He introduced that from the first discovery of the patient's abnormal symptoms or the patient's last normal start to calculate the time:

(1) Patients who meet the conditions within 3 hours, 4.5 hours, and within 6 hours can consider venous thrombolytic therapy, but "time is the brain".

(2) Patients who are 6-hour, 6-16 hours, and 16-24 hours of onset may consider vascular embolism treatment. Although time is extended than venous thrombolytic time, do not delay to hospital time. , Can be treated within 6 hours, do not delay to 16 ~ 24 hours;

(3) Even if the onset of the onset of more than 6 hours (venous thrombolytic time window) or 24 hours (blood vessels takes time window), it is still strongly recommended that patients to complete the treatment and evaluation at the hospital at the fastest speed.

"Knowing how to identify strokes, this is also a key step to help the hospital for treatment as soon as possible." Professor Lu Zhengqi suggested that you can use the "Be Fast" formula to identify whether the stroke occurs:

B, BALANCE: If the patient often feels unstable, or if the body is always oblique on one side, pay attention to whether there is a stroke.

E, EYES: Patients with strokes often look at things, and sometimes appear as blind, that is, the left or half of the entire vision of the whole vision is suddenly missing. In addition, if the eyelids on one side of the family can not open suddenly, at this time, you need to be alert to whether there are strokes.

F, Face (Facial): When you look at the patient's grinning or teeth, whether there is any skewed corner of the mouth.

A, ARMS (arm): Lifting the two arms in the patient to see if it can be lifted to the same height. If there is one arm that cannot be raised up or falls in advance, then you need to pay attention.

S, Speech: If someone at home suddenly becomes ambiguous, "big tongue", or that you can't speak, communicate without response, answer questions, etc. At this time, you also need to be alert to whether there are strokes.

T is Time (time): If any of the above symptoms appear in a short time, you must seek medical treatment immediately and seize the gold treatment time.

In addition, Professor Lu Zhengqi pointed out that the prevention and control of stroke emphasizes the importance of secondary prevention. While treating this stroke, the doctor had an effective intervention on the recurrence of the next stroke. If these measures are prevented well, a large number of patients can cause less onset, even if they are onset, they will not be so serious and dangerous. Many patients in our country often take the medicine for a period of time, and the phenomenon of discontinuation of the medicine for various reasons is common and the compliance is relatively low. As a doctor, in addition to the treatment of patients, the greater task is the science popularization education of the health of the masses, so that they can prevent them and treat them according to the doctor's order. Stopping medicine without authorization, or seeking medical treatment and taking medicine, especially believes in the advertisement and incorrect publicity of TV, are not desirable. "As an important part of medical reform, the National Health and Health Commission has promoted a two -way referral system and the first diagnosis system of community hospitals' to encourage 'minor illnesses in the community, major illnesses to the hospital; surgery in hospitals, postoperative care in the community'. For strokes, you need to be "first aid in the hospital and recover to the community ', so that patients can do long -term and standardized rehabilitation training. Because of this, the Stroke Alliance came into being. Collaboration plays a very important role in improving the comprehensive stroke diagnosis and treatment management model, "said Professor Lu Zhengqi.

Source | Yangcheng Evening News • Yangcheng School

Editor -in -law | Chen Hui

School pair | Zhou Yong

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