Continuous high temperature, cerebral infarction: 35 -year -old guy also got this "elderly disease"

Recently, high temperatures in Changzhou areas have continued to increase, and the number of cerebral infarction patients in the hospital has increased significantly. Among them, many young people have this "elderly illness". The municipal tumor hospital has recently treated a patient with only 35 years of cerebral infarction. There is such a knowledge in the minds of the public, that is, diseases such as myocardial infarction and cerebral infarction are "elderly diseases" are all diseases of the elderly, and young people will not get such diseases. However, in fact, this concept needs to be changed. Whether it is myocardial infarction or the onset of cerebral infarction, it has become younger.

At noon on July 6, Mr. Li, who lives in New Beibei, found that Mr. Li's "tongue" was getting bigger and bigger, his speech was vague, and the response became more and more slow. The last diagnosis was actually diagnosed as "cerebral infarction".

"Unfortunately, he missed the best thrombo period!" Said Xu Xuefen, director of the hospital's neurology department. It turned out that Mr. Li's words appeared from about 3 pm on July 5th. At that time, he didn't care. He went to the hospital for 19 hours after he had symptoms. He is currently undergoing further treatment in neurology in the city oncology hospitals. Essence

"Recently, there are many patients with cerebral infarction. On July 7th, there were 3 emergency and 4 patients with outpatients waiting for hospitalization. These patients have a common characteristic. Insufficient sleep, there are some middle -aged and elderly people who do not like to drink water, and drink water when they are thirsty. "Xu Xuefen said. "Young people suffer from cerebral infarction diseases with the unhealthy daily life of young people. Some young people often stay up late and sleep late due to work or personal habits. The lack of blood flow leads to cerebral infarction. Another part is due to overweight weight, accompanied by hypertension, hyperglycemia, etc., leading to overweight blood burden. "

Mr. Li has the habit of staying up late for a long time and eating supper. Although he has not found hypertension, blood lipids and blood sugar are high. These are the main causes of cerebral infarction in his young age. "If the cerebral infarction can be identified early and early intervention, the mortality and disability rate of cerebral infarction can also be greatly reduced." Xu Xuefen reminded "At present, the most effective means of recognized the mortality and disability rate of patients in the world are recognized in the world. Super early thrombolysis, if varicose thrombolysis is performed within 4.5 hours, the effect is also very obvious. "

Director Xu also reminded that time is the brain. Once the symptoms of early stroke occur, you must go to the hospital in time.

Extended reading: Those things in stroke

What is the stroke?

Stroke, commonly known as stroke, is the brain's blood vessels suddenly ruptured and bleeding, or the brain ischemia and hypoxia caused by blocking. It is divided into two categories: hemorrhagic and ischemia. The former is commonly referred to as "cerebral hemorrhage" or "cerebral hemorrhage". Barnal, "cerebral thrombosis" or "cerebral embolism".

Which groups are high -risk people?

Middle -aged and elderly people over 40 years old have poor daily habits: such as smoking, alcohol, sedentary, weight overweight, etc., and have chronic medical history such as hypertension, heart disease, diabetes, etc. In recent years, strokes have become younger.

Stroke risk factors

There are many risk factors of strokes, including the history of the elderly, race, and stroke family history, which are unavailable risk factors; while hypertension, heart disease, diabetes, hyperlipidemia, obesity, smoking, stroke, or overreach brain ischemia History of attacks, etc., belongs to the dangerous factors that can be controlled.

1. Hypertension: Hypertension is the most common and most important risk factor in stroke. The treatment of hypertension can reduce the occurrence of stroke. Adults check blood pressure at least once a year.

2. Diabetes: Diabetes can not only induce and accelerate cerebral atherosclerosis, but also increase the risk of cerebrovascular thrombosis and embolism through multiple channels. Therefore, check blood glucose regularly.

3. Heart disease: Many heart diseases may cause stroke, such as atrial fibrillation, myocardial infarction, and left ventricular hypertrophy.

4. Smoking: Compared with non -smokers, the risk of strokes of smokers has doubled.

5. History of atherosclerosis or cerebrovascular medical history: Those with intracranial and external atherosclerosis can cause stenosis or hardening plaques to fall off, causing stroke. Those who have a history of stroke or transitional ischemia have a significantly increased risk of stroke.

6. Age: Age is an important risk factor for atherosclerosis. The degree of porridge sclerosis increases with age. The incidence of strokes is also increased with age over 40 years old, but people with middle -aged strokes have also increased and cannot be ignored.

There are four signals in early identification of strokes:

1. On one or bilateral sides of the body, weak numbness or paralysis on the upper and lower limbs or faces;

2. Single -eye or double eye sudden vision vague, or vision decreases, or vision becomes double;

3. Difficulty of language expression or understanding;

4. Dizziness loses a balance or any accidental fall or unstable gait.

There is also a method of quickly identifying ischemia. Just do the three simple actions of "laugh, lift, and say" to identify most of the acute cerebral vascular disease:

1. Laugh: Under normal circumstances, when smiling, muscle movements on both sides are symmetrical, so the corners of the two sides are symmetrical. If the facial muscle activity on both sides appears asymmetric, the corner of the mouth is crooked, it is abnormal.

2. Lift: Lift the upper arm of both sides. Under normal circumstances, the upper limbs on both sides can be maintained for more than 10 seconds. If there is a body sagging or swaying on one side within 10 seconds, it is abnormal. 3. Said: Repeat a simple sentence.

Super early thrombolytic therapy:

In the early stage of cerebral infarction, in the shortest time, the occlusion of the occlusion of the occlusion of the occlusion recovered with blood flow and reducing brain tissue necrosis rate is currently the only drug treatment method. Over the years, experts at home and abroad have been committed to the research of thrombolytic treatment. In 1995, the National Institute of Health (NINDS) reported the reorganized tissue-type iontic iconic activation agent (R-TPA) venous thrombolytic treatment. Cerebral infarction, 30%of patients in the treatment group after 90 days better than the control group. Based on this internationally, the treatment time window for ischemic stroke thrombosis is within 3H after the stroke occurred.

But in most countries, few patients can receive thrombolytic treatment in 3H. Among the patients who were visited within 6H, 50%were visited within 5-6H. In order to expand the treatment time window and benefit more patients from thrombolysis, in 2008, European acute stroke treatment collaboration group organized large-scale thrombolytic treatment research (ECASS-Ⅲ) to evaluate the RT-PA vein for the symptoms of thrombolytic therapy stroke symptoms. The safety and effectiveness of the window 3-4.5 hours after occurring. Results showed that the clinical efficacy of patients in the thrombus was better than the control group, and there was no difference in mortality and severe adverse incidents in the two groups. The result indicates that the thrombolytic time window for ischemic stroke can be extended to 4.5 hours. 3-4.5RTPA venous thrombolysis is safe and effective, which is the biggest improvement in acute stroke treatment in 13 years.

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