The treatment goals in the early stage of stroke

Written by Tang Bo
Neurology
Updated on September 17, 2024
00:00
00:00

Stroke includes hemorrhagic and ischemic types. Whether it is hemorrhagic or ischemic, hospitalization is necessary during the acute phase. Depending on the patient's condition, if it is hemorrhagic, the amount of bleeding should be considered to decide whether to opt for surgical treatment or conservative treatment. If it is ischemic, and the treatment is initiated within the therapeutic time window, that is within 4.5 hours, thrombolytic therapy can be administered, which may potentially reverse the symptoms of the stroke. If the time window is missed, then conservative treatment is required. Acute cerebral infarction in its acute phase can potentially worsen, so the primary goal of acute phase treatment is to stabilize the condition. After stabilization, rehabilitation and physical therapy can gradually improve the patient's symptoms.

Other Voices

doctor image
home-news-image
Written by Tang Ying
Physical Medicine and Rehabilitation
45sec home-news-image

What does "brain stroke dnt" mean?

The term "DNT" refers to the time from when an acute stroke patient arrives at the hospital to the start of intravenous thrombolytic treatment. Both domestic and international guidelines recommend the DNT to be within 60 minutes—the earlier, the better. This standard was established by the National Health and Family Planning Commission. The time it takes for pre-hospital emergency care and in-hospital medication administration is approximately 60 minutes each. It is only by improving the time from pre-hospital treatment to medication administration within this golden window that we can enhance the patient's survival rate, prognosis, and quality of life, while minimizing disability rates.

doctor image
home-news-image
Written by Tang Bo
Neurology
45sec home-news-image

What department should I go to for a stroke?

Stroke is classified into ischemic stroke and hemorrhagic stroke. If symptoms of a stroke occur, such as slurred speech, limb weakness, or other neurological deficits, one should immediately seek medical attention at the emergency department of a local hospital. Emergency doctors will perform a head CT scan. If ischemia is present, the CT scan might not show changes within 24 hours, in which case a visit to the neurology department is necessary. If hemorrhage is detected, then a visit to the neurosurgery department is required. However, if the symptoms are of a chronic, old stroke, then a visit to the neurology department is needed.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min home-news-image

What does stroke include?

Stroke, translated from the English word "stroke," refers to rapidly occurring pathological changes. Stroke mainly includes two types of diseases: ischemic cerebrovascular disease and hemorrhagic cerebrovascular disease, with ischemic cerebrovascular disease being the most common. Ischemic cerebrovascular disease includes large artery atherosclerotic cerebral infarction, small artery occlusive cerebral infarction, as well as cardiogenic cerebral embolism and other causes of cerebral infarction. Hemorrhagic cerebrovascular disease mainly includes cerebral hemorrhage caused by hypertension, subarachnoid hemorrhage, and cerebral hemorrhage caused by aneurysms or vascular malformations. The onset of a stroke is very aggressive and can severely threaten the patient's health. Once a stroke is suspected, it is critical to rush to the hospital for appropriate diagnostic tests to confirm the diagnosis and provide the most suitable treatment plan.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min home-news-image

Main manifestations of pre-stroke warning signs

The precursor of cerebral thrombosis in neurology is called transient ischemic attack (TIA). As the name suggests, this is a transient disease, mainly characterized by symptomatic speech impairment, facial droop, drooling, episodic dizziness, blurred vision, and episodic numbness and weakness of limbs. These symptoms are generally transient, usually lasting from several minutes to a few hours and can be completely relieved. The precursor of cerebral thrombosis is regarded as an emergency in neurology and must be treated promptly. Delayed treatment can possibly progress to cerebral infarction, severely affecting the patient's quality of life and physical health. In considering this disease, one must immediately rush to the hospital for appropriate treatment with antiplatelet drugs, lipid-regulating drugs to stabilize plaques, and treatments such as volume expansion and fluid supplementation.

doctor image
home-news-image
Written by Tang Ying
Physical Medicine and Rehabilitation
54sec home-news-image

Rehabilitation nursing for stroke patients

For the rehabilitation and nursing care of stroke patients, first and foremost, we need to monitor the patient's vital signs, food intake, sleep, as well as bowel and bladder function. Secondly, we should pay attention to their psychological state, checking for signs of tension, anxiety, and depressive emotional reactions. Thirdly, we encourage patients to overcome their illness and to establish confidence in their recovery. Fourthly, we guide patients to actively engage in physical function exercises, as well as daily activities such as eating and dressing to practice their daily living skills. Fifthly, we manage proper limb positioning and patient turning, prevent pressure sores, and also prevent a series of complications such as venous thrombosis and urinary tract infections.