The brain is the nerve center of human beings. If you suffer from cerebral aneurysm, cerebral infarction and other cerebrovascular diseases, in people's inherent impression, it often requires craniotomy to cure it. Is this really the case?
Recently, Chu Jianfeng, deputy director and deputy chief physician of the Neurology Department of Jining First People's Hospital, told reporters that at present, neurological interventional treatment is becoming mainstream. Because it has the characteristics of no craniotomy, small damage, and fast patient recovery, it is given priority for clinical treatment. For cerebral infarction , cerebral aneurysm, cerebral artery stenosis and other diseases, the Neurology Department of Jining First People's Hospital carries out about 2,000 interventional treatments every year.
Say goodbye to craniotomy. There is a new treatment plan for cerebrovascular diseases.
Heze Bi Mou suffered a sudden loss of speech and paralysis of his right limb on May 1, 2019. He went to a local hospital and was diagnosed with acute cerebral infarction. Because the local hospital in Heze could not complete this type of thrombectomy surgery, I drove 2 hours to Jining First People's Hospital. The hospital launched a green channel for interventional thrombectomy and performed emergency surgery. The patient recovered well after the operation and was discharged on foot 2 weeks later and can take care of himself.
5-year-old Liu was admitted to the hospital due to a sudden headache and then fell into a coma for 2 hours. After admission, it was diagnosed as subarachnoid hemorrhage. 80% of patients with this type of disease are caused by intracranial aneurysm rupture. Due to the large amount of bleeding, the patient lost spontaneous breathing soon after admission and needed a ventilator to assist breathing, which could put his life in danger at any time. Emergency interventional embolization of the aneurysm was performed to repair the ruptured blood vessel and prevent further bleeding. After a series of careful treatments after surgery, the patient saved his life, could take care of himself, and came back to life.
For the above two patients, the timely initiation of interventional treatment pressed the continuation button for the patients' lives. Interventional therapy is to make tiny channels with a diameter of several millimeters in blood vessels and skin without incision to expose the lesions, or through the original channels of the human body, under the guidance of imaging equipment, to examine and treat the local lesions with minimal trauma. treatment method.
"Cerebrovascular disease is divided into hemorrhagic cerebrovascular disease and ischemic cerebrovascular disease. The common disease of hemorrhagic cerebrovascular disease is cerebral hemorrhage, ischemic cerebrovascular disease is what people often call cerebral infarction." In the past, conventional drugs and intravenous thrombolysis were used in the treatment of cerebrovascular diseases. Nowadays, in addition to these two methods, neurointerventional therapy has increasingly become the mainstream in the field of this disease.
It is understood that the neurointerventional group of the Department of Neurology of Jining First People’s Hospital currently performs a full range of neurointerventional surgeries, and is at the leading level of technology in the province in many aspects. It performs more than 2,000 neurointerventions every year, ranking first in the province in terms of quality and quantity. The best within.
At present, the main surgeries performed by the Department of Neurology of the First People's Hospital of Jining include: full cerebral angiography , emergency intra-arterial mechanical thrombectomy, stent angioplasty for vascular stenosis in the neck and intracranial segments, and various arterial dissections. Interventional treatment, interventional recanalization of subacute or chronic cerebral artery occlusion, and tamponade of hemorrhagic or unruptured cerebral aneurysms at various locations. As the regional medical center in southwestern Shandong, Jining First People's Hospital is also in a leading position in neurointerventional technology. It radiates patients from Heze, Jining, Zaozhuang, Tai'an and other places, and many doctors from local hospitals come here to study.
Every second counts to get the best treatment time for patients
During the interview, Chu Jianfeng, deputy director and deputy chief physician of the Department of Neurology of Jining First People's Hospital, told reporters that the key to the treatment of acute cerebral stroke (acute stroke ) lies in early diagnosis. , identifying whether you or your family members have stroke as early as possible, and timely treatment can save the lives of stroke patients. improve the quality of life. Stroke patients in my country often have delayed treatment because they cannot be identified early and cannot be delivered to the hospital in time, which directly leads to severe disability and even death in some patients. Mastering the "FAST" method can reduce damage and help with early treatment.
The diagnosis and treatment of hyperacute cerebral infarction can be described as "racing against time", because time is the brain.As one of the first batch of "National Advanced Stroke Bases" in the country, Jining First People's Hospital has the country's leading green channel for stroke, which effectively improves the efficiency of stroke treatment. Currently, the time from admission to intravenous thrombolysis (English abbreviation DNT) can be strictly controlled within 60 minutes; while for emergency bridging thrombectomy, the time from admission head CT examination to femoral artery puncture can be strictly controlled within 90 minutes.
According to reports, the human body's nerve cells can survive for up to 5-8 minutes when the blood flow is completely interrupted and hypoxia occurs. The more timely the rescue, the smaller the brain damage, and the better the treatment effect that the patient can achieve. . Therefore, for stroke patients, time is the brain, and every minute after the onset is significant.
Finally, Chu Jianfeng said that the most important way to reduce cerebrovascular disease is early prevention. Cerebrovascular disease is closely related to lifestyle. Therefore, developing healthy living habits, such as quitting smoking and drinking, and eating regularly, can effectively reduce the risk of stroke.
Reminder: Three principles for judging stroke ("FAST" method)
F: Can you (he) smile? Do you feel weak or numb on one side of your face?
A: Can you (he) raise your hands successfully? Do you feel like you have no strength in one hand or can't lift it at all?
S: Can you (he) answer the questions fluently? Do you have difficulty speaking or have slurred speech?
T: If any of the above three conditions exist, please call the emergency hotline 120 immediately.
