October 13 this year is the 8th World Thrombosis Day. In March 2014, the International Society on Thrombosis and Haemostasis (ISTH) announced that Rudolf Virchow’s birthday (October 13) would be World Thrombosis Day (WTD) to commemorate his first proposal "Thrombus formation" theory; It is hoped that WTD will improve public awareness of thrombosis, and promote the standardized diagnosis and treatment of thrombotic disease; call on different groups from all over the world to unite and face the silent killer of thrombosis.
Aunt Yu, who loves to exercise, wakes up in the morning and finds that she is missing a corner, especially on the right side, and hits the wall when she walks. She came to the ophthalmology clinic. After the examination, the ophthalmologist told her that it was not an eye problem. She was recommended to come to the Department of Neurology. After CT scan, it was found that it was a cerebral infarction of occipital lobe .
Grandpa Zhang, who also couldn't see things clearly, suddenly suffered severe dizziness while playing mahjong. Everything is "double shadow". He thought it was because he was getting older, playing mahjong for a long time, and his presbyopia got worse, so he didn't care. After sleeping all night, the limbs became less flexible the next morning. I hurried to the hospital for an examination and found that it was a blood clot in the brainstem.
A young man in his 30s, usually has a lot of entertainment, poor body management, and has high blood pressure without paying attention. I drank a lot of alcohol the night before,When I got up the next morning, I found my walking wobbly. He thought it was a hangover and rested at home for a day. On the third day, the symptoms had not improved, so he came to the hospital. After an examination, it was found that it was a blood clot in the cerebellum.
There is also an 80-year-old grandmother who lives alone. The family found that when they called her in the past two days, she spoke incoherently and did not follow the preface. The children rushed to the hospital for her grandmother. After examination, it was a thrombus in the left frontal parietal lobe.
As the weather turns cooler, the number of patients with cerebral thrombosis is gradually increasing. These are just a few of these cases. Without exception, they did not choose to see a doctor the first time after the onset of illness. Fortunately, after treatment, the symptoms of these patients improved to varying degrees, but they also left some sequelae to varying degrees.
As ordinary people who have no or some medical knowledge, how can we find these signs of thrombosis in the shortest time?
When people have symptoms such as poor physical activity, weakness, slurred speech, and crooked mouth and eyes, these symptoms can be detected in time, but some patients are often ignored because of the above-mentioned less typical symptoms. .
We need to know that the symptoms of cerebral infarction mainly depend on the location of the lesion. Each functional area of the brain performs its own duties. If the motor center is affected, the motor function of the limbs and face will decrease. If the visual center is affected, the performance of visual field defect will appear like the first aunt; if it affects the eye movement center, the second uncle will have a "double shadow" performance in everything; if it affects If the balance center is broken, it will appear like that young man walks unsteadily; the last grandma who lives alone. It was due to a problem with the language hub ; that's why it was discovered.There are also some patients who have numbness or dance-like movements of their lateral limbs and go to other departments first. There are actually many such patients in our clinical practice.
What happened to remind us that we need to go to the neurology department in time?
1. The first is sudden facial, upper and lower limbs or unilateral limb weakness. The numbness of one limb also needs attention, especially when weakness and numbness occur at the same time; or there is a dance-like movement of the limb or face.
2. Sudden speech disorder or loss of comprehension. It not only refers to the unclear speech, but also the confusion of language logic, the decline of vocabulary, or the obvious change in intonation.
3. Blurred vision on one or both sides; or suddenly staring in one direction.
4. Suddenly realized dizziness, balance adjustment disorder or difficulty walking.
5. Sudden headache of unknown origin.
6. For patients suffering from hypertension, hyperlipidemia, hyperglycemia, heart disease, smoking, alcoholism, obesity and other diseases, and those who have had a stroke in the past, or the elderly, these appear Symptoms should be taken seriously. It is necessary to rush to the hospital as soon as possible, and a professional doctor will make a judgment and give follow-up treatment. Time is very important for acute stroke.
I also need to remind everyone that before imaging examinations, it is impossible to say with certainty which patient is cerebral infarction and which patient is cerebral hemorrhage. Some patients thought they were experienced and developed these symptoms and immediately took a few tablets of aspirin .After I came to the hospital, I was very proud to tell me, "Doctor, do you think I handled it in a timely manner?" I can only tell him that you are lucky, this time it is not a cerebral hemorrhage. There are also some folk remedies that you don’t need to try. These can only delay your time to go to the hospital, and may be counterproductive.
Due to various reasons, the incidence of stroke in young people is also increasing year by year. Patients with these high-risk factors are requested to have regular physical examinations in time. High-risk factors for stroke were discovered. Be sure to follow the doctor's instructions, and do a good job of self-monitoring and adjust your living habits.
In China, the morbidity and mortality of cerebral infarction occupies the top of all diseases. Especially in our northern region, the risk is higher. But this does not mean that we have nothing to do with it. On the one hand, we have treatment methods, such as intravenous thrombolysis, interventional thrombus removal and other vascular recanalization methods; on the other hand, primary or secondary prevention is also accepted by more people; the rapid progress of rehabilitation treatment, etc., will ultimately be related to the disease Win the duel and increase the weight.
In short, stroke can be prevented and treated, and early detection is a key part.
[Experts in this issue]
Wang Huijie, Director of the First Department of Neurology, Shenyang Red Cross Hospital, Chief Physician. Member of Sleep Science Branch of Chinese Society of Gerontology and Geriatrics, Executive Director of Geriatrics Professional Committee of Liaoning Cell Biology Society, Director of Collaborative Innovation Alliance of Liaoning Cerebrovascular Disease Medicine, Member of Brain Disease Professional Committee of Liaoning Traditional Chinese Medicine Association, Cell Biology of Liaoning Province Member of the Professional Committee of Alzheimer's and Cognitive Disorders of the Chinese Academy of Sciences, member of the Movement Disorder Professional Committee of the Liaoning Cell Biology Society, and member of the Cerebrovascular Disease Branch of the Liaoning Cell Biology Society. Good at neurology rescue and treatment of various acute and critical illnesses,He has deep knowledge in cerebrovascular disease, epilepsy, Parkinson's disease , and cognitive dysfunction.
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