The optimal time for thrombolytic therapy is

Thrombolysis is a disease that can be caused by various reasons. This disease seriously affects our lives and can occur in various parts of the body. It should be treated in a timely manner, and there is an optimal time for its treatment. However, many people do not know its specific optimal time, or have never learned about this thing. So what is the best time for thrombolytic therapy?

It is currently believed that the most important and critical method for treating cerebral thrombosis is ultra-early thrombolytic therapy. There are two methods of thrombolysis: one is arterial thrombolysis, which is to insert a catheter from the femoral artery directly to the site of cerebral artery thrombosis, inject thrombolytic drugs, dissolve the thrombus, and restore blood supply to the cerebral artery; the other is intravenous thrombolysis, which is to dilute the thrombolytic drugs and then drip them intravenously. Arterial thrombolysis is more reliable.

However, the best golden time window for thrombolysis currently recognized both at home and abroad is within 6 hours after cerebral thrombosis occurs, that is, arriving at the hospital and starting thrombolysis within 6 hours after cerebral thrombosis occurs. It is generally believed that if thrombolysis is started within 6 hours after thrombus formation, it is possible to completely dissolve the fresh blood clot, reopen the blocked blood vessels, restore normal blood supply, and allow the originally ischemic brain cells to fully resume normal function. As a result, the legs that were previously unable to move started moving again, and he could even stand up and walk; he could speak again, although he was previously unable to speak; and the symptoms of dizziness, nausea and vomiting disappeared. About 70% of patients can recover; the effect is miraculous.

However, if it exceeds 6 hours, some ischemic brain cells will undergo necrosis; after 12 hours, the vast majority of ischemic brain cells will be necrotic, and this necrosis is irreversible, which means that it is unlikely to restore their normal function. Therefore, sequelae are inevitable, and complete recovery is very difficult. Therefore, it is crucial for the patient's prognosis to grasp the best golden time to start thrombolysis within 6 hours after cerebral thrombosis; the golden opportunity cannot be missed, and it is difficult to get it back once lost. It is a great pity that 90% of patients with cerebral thrombosis miss this precious golden time. Therefore, it seems that we are seeing more and more patients with sequelae of cerebral thrombosis who walk in circles.

It can be seen that it is imperative for patients, family members, witnesses and doctors to race against time and jointly grasp the best golden rescue time of 6 hours. First of all, we must pay attention to the precursors of cerebral thrombosis. If the patient has numbness on one side of the face or limbs, fatigue, crooked mouth, drooling, transient blackouts, slurred speech, etc., you should immediately think of the precursors of stroke. If there is hemiplegia, aphasia, or dizziness, vomiting, you should immediately think of stroke. You must call 120 immediately, open the green channel, and go straight to the CT room to confirm that it is not cerebral hemorrhage but cerebral thrombosis; then go to the interventional room and perform arterial thrombolytic therapy every second.