1, what is a stroke?
Stroke, commonly known as "stroke", is divided into hemorrhagic stroke, namely cerebral hemorrhage and ischemic stroke, including cerebral infarction and cerebral embolism.
2. Who is prone to stroke?
Patients with family history of hypertension, diabetes, hyperlipidemia, atrial fibrillation and cerebrovascular disease are more likely to have a stroke, but some healthy people may suddenly have a stroke.
3. How to judge the occurrence of stroke?
One or more of the following symptoms should be alert to stroke:
(1) Suddenly, one side of the face and body is numb or inflexible, and even unable to lift or move limbs;
(2) Sudden slurred speech (Lickitung), drooling, coughing and vomiting when drinking water and swallowing food;
(3) sudden unconsciousness and unexpected reaction.
4. How to deal with acute stroke?
One must, two don't
You must go to the emergency room at once. No medicine, no meals.
(1) Need immediate first aid.
Patients often hope to relieve the symptoms of stroke through rest and observation. Or delay seeing a doctor for reasons such as waiting for family to accompany you and avoiding going to the hospital on holidays. However, some patients with ischemic stroke may receive intravenous thrombolysis or embolectomy within a few hours. Delaying medical treatment may miss the best opportunity for diagnosis and treatment and delay the treatment of patients.
(2) Don't take any drugs, including Angong Niuhuang Pills and antihypertensive drugs.
Angong Niuhuang Pill is not suitable for all types of stroke, and taking it alone may aggravate the condition because the drug is not symptomatic. The increase of blood pressure in some patients with ischemic stroke in acute stage is a compensatory response to improve blood supply to the brain. Taking antihypertensive drugs alone may further reduce blood supply to the brain and aggravate the condition. Other drugs may affect the subsequent thrombolysis and embolectomy, reducing the chance of treatment. Therefore, it is forbidden to take medicine before seeing a doctor.
(3) Don't eat
Stroke patients may be complicated by choking and easy to inhale. Eating may cause severe aspiration pneumonia or even suffocation and death, so eating is not allowed after a stroke.
5. How to see a doctor when a stroke is suspected?
(1) Ready to see a doctor
Medical preparation includes the patient's past medical records, medication, recent examination data, patient ID card, medical insurance card, cash, bank card, etc. Immediate family members who are familiar with the patient's condition and can make medical decisions for the patient are preferred, such as spouses and children.
(2) Immediately go to the nearest hospital with thrombolytic conditions for first aid.
There is a time limit for thrombolysis and embolectomy in acute ischemic stroke. The earlier the treatment is started, the better the effect will be and the fewer complications will be. Considering the necessary time for medical treatment, examination and examination, there is not enough time, so we should race against time. Suspected stroke patients should go to the nearest hospital immediately, and don't refuse to take thrombolysis locally because they don't trust the nearby hospital, and blindly transfer to a big hospital.
Conditional patients are advised to call 120 for consultation, and the emergency center of 120 can find out the situation of hospitals with thrombolysis conditions, and consultation can be arranged according to the distance and the saturation degree of hospital consultation at that time; At the same time, 120 medical staff can make a preliminary judgment on the patient's condition on the way, reduce the wrong triage and save the time of seeing a doctor.
(3) Recall and record the earliest time of symptoms.
Family members should be prepared for the earliest onset time of symptoms. The wrong onset time may lead to the doctor's misjudgment. Once the time limit is exceeded, thrombolysis or embolectomy may lead to life-threatening bleeding. Therefore, family members should be clear about the onset time of patients when visiting.
If the onset time is not clear, it is necessary to provide the time when the patient's condition was finally found to be normal. In particular, the families of suspected stroke patients after waking up in the morning should try to recall the time when they fell asleep the night before, whether they got up at night, whether they were normal when they got up, whether they had symptoms after getting up in the morning or whether they had symptoms after a period of activity.
(4) Clearly inform the triage nurse of the symptoms and the time when the symptoms appear.
After arriving at the emergency department, the triage nurse should be informed of the symptoms and time of this visit immediately, and it is forbidden to describe the past diseases too much, which will affect the triage nurse's judgment and timely treatment.
(5) Inform the emergency doctor in time that the patient may be an acute stroke patient.
The emergency department is busy at ordinary times, and it generally follows the normal medical treatment process and carries out diagnosis and treatment in the order of registration. However, patients with acute stroke within the time window can generally open a green channel to reduce the waiting for diagnosis, examination and treatment and strive for treatment opportunities. Therefore, patients suspected of acute stroke should inform the doctor in time, instead of waiting in line quietly, and the doctor should judge in advance whether it is necessary to make a diagnosis and treatment.
The weather changes, and some sudden diseases come unexpectedly. In order to minimize the harm of diseases, we should take countermeasures in advance and be calm and orderly in the face of danger.
Scope of diagnosis and treatment in internal and external departments
Common diseases, frequently-occurring diseases and intractable diseases in internal medicine of the elderly, especially diabetes, cardiovascular and cerebrovascular diseases, hypertension, coronary heart disease, dyslipidemia, digestive system diseases and nephropathy. TCM syndrome differentiation, combination of traditional Chinese and western medicine, rehabilitation physiotherapy and combination of acupuncture and medicine were used for treatment.
Expert introduction