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2016年11月28日
Identification of stroke, remember a few key number
2 not only 1 asymmetric face, smooth lift arm, also could not say words of "0" language
Experts questioned: god GengTongChao of doctor of medical director of nanjing xianlin drum tower hospital
Our special correspondent Zhao Peng
08:59 on November 25, 2016
Source: People's Daily life times
The original title: identification of stroke, remember a few key number (stroke treatment)
, according to new stroke patients about 2.5 million a year in our country, the number of people died of a stroke (stroke) of more than 1.5 million. For patients with stroke, time is to the brain, is very important to identify the early symptoms of stroke.
For americans to "120" formula
At present, the international general "fast" formula (that is, the Face, Arm Arm, researched and language, Time to Time) as a warning sign of a stroke. As a result of this formula is composed of the English word, is not easy to understand for Chinese people, is not good to remember. Recently, the journal the lancet, neurology, published a suitable Chinese rapid identification of stroke 120 formula, the formula by minhang hospital affiliated to fudan university neurology, director of the jing and the university of Pennsylvania professor Liu Renyu cooperation initiative. See 1 face namely: asymmetry, comes; Check 2 arms: parallel lift, unilateral weakness; 0 (leaf) listening to language, words, expression difficulties. Find these problems, first is suspected stroke, in a timely manner to the hospital. Nanjing xianlin drum tower hospital of doctor of medical director of god GengTongChao specific interpretation way:
See 1 face. Due to brain control facial muscles, the beginning of a stroke, nerve damage and influence muscle function, comes more than 90% of the patients, asymmetry of face.
The two arms. Stroke typically involving one of the two hemispheres, as a result, patients would suddenly appear on the side of the weak body, numb, when parallel raised her arms, one side will droop.
0 (leaf) listen to the language. Brain, dominate the tongue movement function nerve failure, one of the common symptom is suddenly speak ineffective or enunciation unclear, don't even speak.
Dial "120" emergency calls at once
GengTongChao says, when he found the early symptoms of the suspected stroke, should keep quiet and let patients avoid any mental stress. At the same time, the patient or family members should call 120 immediately, to a hospital make a diagnosis and give treatment. If family members do not understand a stroke, be careful to hospital. First of all, the random move patients or patients to move around, will increase the risk of patients with secondary damage such as falls and fractures. Through the "120" call an ambulance, the doctors in the process of transporting patients can also conduct a preliminary treatment, and contact will be delivered to the hospital.
Second, many people do not know, the hospital decide to send to the hospital may not have the ability to treat cerebral infarction, even have the ability, the hospital may also because didn't prepare for personnel, equipment and beds, delayed treatment. The meaning of the emergency call is hospital can jump-start targeted emergency green channel, to save time.
Finally, many people think a headache is the typical symptoms of a stroke, that is not entirely. Informally, stroke is divided into two categories, cerebral hemorrhage and cerebral infarction. Cerebral infarction is the cerebrovascular wall, light cerebral infarction without symptoms of headache, unless there is a widespread congestion, lead to brain edema, might have a headache, and, of course, this is just a matter of a few days later. Cerebral hemorrhage is cerebral vascular rupture, when bleeding stimulate the meninges or formation of hematoma caused by intracranial pressure, will have obvious headache. So don't assume no headache is not a stroke.
Stroke is a high-risk time at 3 ~ 6 in the morning
3 ~ 6 in the morning is a high incidence of stroke in the most dangerous moment. This is associated with a variety of factors. Because the self-correcting mechanisms such as the human body have a biological clock, night when resting, relative to the day, the body's metabolism is low, blood vessel relaxation, blood flow is slow, blood clots. Early in the morning, vascular active substances secreted increase, blood pressure, increasing cerebrovascular load. Plus, no moisture complement, evening will moisture loss caused by metabolism, blood viscosity is higher, a variety of factors increase the risk of stroke.
So, high-risk patients should be under the guidance of aspirin, reduce blood viscosity; Still can take long-term blood pressure medication before going to bed, to maintain blood pressure at night, reduce the risk of stroke.