How to effectively treat cerebral thrombosis

If you suffer from cerebral thrombosis, the patient needs to pay attention to scientific treatment and abide by some principles of drug use. At the same time, he should also pay attention to later rehabilitation training and treatment to improve his quality of life, especially for older patients, the harm is relatively large.

1. Medication

Principles of acute drug treatment.

(1) Ultra-early treatment should first raise the public's awareness of stroke emergencies and first aid and make them understand the importance and necessity of ultra-early treatment. See a doctor immediately after the onset of the disease. If there are no contraindications, strive to perform thrombolytic therapy within the 3-6 hour treatment time window, reduce cerebral metabolism, control cerebral edema, protect brain cells, and save the ischemic penumbra.

(2) Individualized treatment: The most appropriate treatment is taken according to the patient's age, ischemic stroke type, severity of illness, and underlying disease.

(3) Prevent and treat complications such as infection, cerebrocardiac syndrome, hypothalamic injury, post-stroke anxiety or depression, inappropriate antidiuretic hormone secretion syndrome, and multiple organ failure.

2. Surgical treatment

For patients with large supratentorial cerebral infarction with severe cerebral edema, space-occupying effect, and signs of brain herniation, decompressive craniotomy can be performed. For patients whose condition worsens due to cerebellar infarction and brain stem compression, aspiration of the infarcted cerebellar tissue and posterior cranial fossa decompression can be saved.

3. Rehabilitation

It should be carried out early and follow the principle of individualization to formulate short-term and long-term treatment plans, select treatment methods in stages and according to local conditions, provide patients with targeted physical and skill training to reduce the disability rate, promote neurological function recovery, improve quality of life and reintegrate into society.

4. Prognosis: The mortality rate of cerebral thrombosis is lower than that of cerebral hemorrhage, but the disability rate is higher.

The mortality rate increases significantly with age, with an average mortality rate of about 25%. Common causes of death are brain herniation, multiple organ failure, secondary infection, and cardiopulmonary insufficiency. The disability rate among survivors is also high, and about 20% of survivors relapse within 1 to 2 years. Therefore, once you have cerebral thrombosis, you must take medication for life to prevent recurrence, and you must take the medication under the guidance of a professional doctor.