Mr. Zhang is 63 years old and has been suffering from cerebral infarction since he was in his fifties

Mr. Zhang is 63 years old and has been suffering from cerebral infarction since he was in his fifties. He has had a relapse and recently came to the hospital for symptoms such as dizziness and headache. When he saw the doctor, he asked a question: "I take medicine every day, why did I have a cerebral infarction again? Isn't the aspirin I take effective

The doctor asked him a question: "Grandpa, have you quit smoking? Are you still drinking alcohol

Uncle Zhang was a little embarrassed. He smiled and said, "I really can't stop smoking, but if I smoke one less day, it will be one pack. The wine is at most two liang of Baijiu, much less than before!"

The doctor asked Uncle Zhang again, "Does aspirin take 100 milligrams per tablet every day? How long has it been since I came for a follow-up check

Not only did Uncle Zhang not come for a check-up for over a year, but he also changed the aspirin that the doctor had instructed him to take. The doctor asked him to take 100 milligrams per day, but he himself changed it to 50 milligrams per day, saying he was afraid of having cerebral hemorrhage every day.

The doctor shook his head at Uncle Zhang's words and told him that if he didn't quit smoking and drinking, and didn't follow the doctor's advice, he would still suffer from cerebral infarction again. I hope that after this treatment, he can correct his bad lifestyle habits and take medication on time and in accordance with the doctor's instructions.

Cerebral infarction, also known as stroke in traditional Chinese medicine, is a brain disease caused by the entry of blood clots into the cerebral arteries and blockage of blood vessels, leading to ischemic necrosis of local brain tissue.

Cerebral infarction is mainly divided into three types: cerebral thrombosis, cerebral embolism, and lacunar infarction. Among them, cerebral thrombosis is the most common type of cerebral infarction, accounting for about 60% of all cerebral infarction.

There are three main causes of cerebral infarction:

one Atherosclerosis causes cerebral infarction. With the increase of age, people with hypertension, diabetes, hyperlipidemia, smoking, drinking and other risk factors are prone to plaque on the inner wall of the blood vessels, blocking the distal blood vessels or causing serious stenosis of the blood vessels, leading to the occurrence of cerebral infarction.

2. Cardiogenic factors. Thrombosis and arrhythmia in the heart can all cause cerebral infarction, with the most common being embolism caused by small blood clots caused by atrial fibrillation. Problems with heart valves can also lead to cerebral infarction.

3. Other causes: coagulation disorders, changes in blood composition, vasculitis, vascular malformations, etc.

Precursors of cerebral infarction: When a cerebral infarction occurs, the patient's blood vessels are gradually blocked, and most people have precursors. The initial symptoms are headache, dizziness, and sometimes limb paralysis and weakness, which can persist for several minutes or hours. However, when such symptoms are discovered, it is important to be careful, as they may be precursors of cerebral infarction.

The most common clinical manifestations of lacunar infarction include dizziness, dizziness, unstable gait, limb weakness, a few cases of coughing and swallowing difficulties, as well as hemiplegia and decreased hemiparesis. Some patients do not have localized signs.

Moderate infarcts, on the other hand, manifest as sudden headaches, dizziness, frequent nausea and vomiting, clear consciousness, hemiplegia, or hemisensory disorders, hemianopsia, central facial paralysis and lingual paralysis, pseudobulbar palsy, aphasia, etc.Large area infarction patients have an acute onset and critical condition, which can lead to quadriplegia, cerebral hernia, coma, and other conditions.

The principle of treating cerebral infarction is to improve cerebral circulation in the acute phase and stabilize plaques in the remission phase.

oneAcute phase: duringThrombolytic treatment should be given during the thrombolysis time windowWithin 3.5 hours, in terms of posterior circulation, for example, in patients with dizziness, the range of dizziness and cerebral infarction should be appropriately relaxed. Arterial thrombolysis treatment can be given within 4.5 to 6 hours, and arterial thrombectomy treatment can be given within 8 hours.

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1. Poor control of risk factors for cerebral infarction.

2. Insufficient dose of aspirin70 kg100 mg70 kg.10050.100.

3. Poor sensitivity to aspirin.

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5. Resistance to aspirin.

6. Other reasons.

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