What are the early treatments for cerebral thrombosis

For patients with cerebral thrombosis, it is important to pay attention to early detection and early treatment measures, so as to achieve better treatment results. Pay attention to adjusting blood pressure and monitoring blood pressure conditions. At the same time, you should also closely monitor blood sugar and body temperature to prevent complications.

① General treatment: Stay in bed and keep the airway open. Intravenous infusion is used to maintain water, electrolyte balance and nutritional intake. Those who cannot eat on their own should be fed by nasogastric feeding. Closely monitor heart, lung and kidney function to prevent and treat arrhythmia, heart failure, respiratory tract infection and aspiration pneumonia. Try to avoid the injection of glucose solution to prevent high blood sugar from aggravating the damage of cerebral infarction. Pay attention to preventing bedsores and keeping bowel and urination unobstructed. Passive movements (especially of paralyzed limbs) and breathing exercises should be started as early as possible.

② Adjust blood pressure: The blood pressure of patients with cerebral thrombosis in the acute phase should be maintained at the level measured before the onset of the disease or slightly higher than the level that the patient should have for his age (cerebral perfusion pressure should generally be controlled between 6.67 and 20.okpa). If blood pressure is too low, dopamine or other pressors or fluid replacement should be given to raise blood pressure. Antihypertensive drugs should generally not be used, and barbiturates and other sedatives are contraindicated (they can increase the risk of respiratory depression and secondary pneumonia).

③Prevention and treatment of cerebral edema: When the infarction area is large and the condition is serious, 125-250ml of 20% mannitol is often used by intravenous drip, 2-4 times a day, for 7-10 consecutive days. Treatment should be adjusted according to clinical conditions, changes in intracranial pressure, plasma osmotic pressure, etc. (it should be used with caution in patients with poor heart and kidney function). Blood sugar and body temperature should be closely monitored to prevent complications.