What are the best treatments for cerebral infarction

If you have a cerebral infarction, you are basically going to meet the god of death, because cerebral infarction is a very dangerous disease. Patients often develop the disease without knowing it, which eventually leads to death. Therefore, cerebral infarction must be discovered and treated in time, otherwise it will cause serious consequences. Let’s take a look at the best treatments for cerebral infarction.

(1) Ultra-early thrombolytic therapy: may restore blood perfusion in the infarcted area and reduce neuronal damage. ① Urokinase (UK): alteplase (recombinant tissue-type plasminogen activator) is commonly used for drug thrombolysis; intravenous thrombolysis with streptokinase (SK) is not recommended because it can easily cause bleeding. ② As an emergency treatment for stroke, arterial thrombolysis can be performed under direct DSA vision through super-selective interventional arterial thrombolysis. Arterial thrombolysis with urokinase combined with low-dose intravenous heparin may be beneficial for patients with stroke in the middle cerebral artery distribution who have symptoms 3 to 6/h.

(2) Brain protection therapy: Taking medication before the ischemic cascade is initiated can reduce brain metabolism, interfere with the cytotoxic mechanism induced by ischemia, and alleviate ischemic brain damage. Including free radical scavengers (oxidase dismutase, barbiturates, vitamin E and vitamin C, 21-aminosteroids, etc.), as well as opioid receptor blockers naloxone, voltage-gated calcium channel blockers, excitatory amino acid receptor blockers and magnesium ions.

(3) Anticoagulant therapy: It can be used in the short term to prevent thrombus expansion, progressive stroke, and re-occlusion after thrombolytic therapy. Commonly used drugs include heparin, heparin calcium (low molecular weight heparin) and warfarin. Coagulation time and prothrombin time should be monitored during treatment, and antagonists such as vitamin K and protamine sulfate should be available to deal with possible bleeding complications.