How is ischemic encephalopathy treated?

The treatment of ischemic encephalopathy is an important issue. Methods and principles must be followed. First of all, ischemic cerebral edema must be actively treated in order to better prevent the expansion of cerebral edema, and attention must be paid to reducing metabolism.

1. Treatment principles

If acute cerebral infarction has caused hemiplegia, hemiplegia or aphasia, the treatment principles are:

1. Improve the blood supply to the ischemic area in a timely manner and stop the progression of cerebral infarction as soon as possible. ??

2. Actively treat ischemic cerebral edema and prevent the expansion of cerebral edema. ??

3. Use brain protective agents such as sibelium, nimodipine, and danacon to protect the infarct edge area (pentaminc zone) in time to avoid further aggravation of the disease. ??

4. Reduce metabolism, such as wearing an ice cap, hypothermia therapy, etc. Strengthen the supply of oxygen and utilize oxygen transfusion, etc. Prevent and treat complications such as lung infection, renal failure, etc. ??

2. What is the relationship between hyperlipidemia and ischemic encephalopathy?

Hyperlipidemia does not have corresponding clinical symptoms like hypertension and hyperglycemia. Patients with hyperlipidemia do not have any obvious symptoms. So from this perspective, hyperlipidemia is more harmful to the body and more hidden. Actively treat heart disease, control diabetes and transient ischemic attacks.

3. Prevention of ischemic encephalopathy

First, all patients are over 40 years old and have a long history of hypertension. Second, the patients have sudden onset of the disease or unilateral limb weakness, unstable standing, or repeated attacks after relief. Third, repeated attacks may be accompanied by nausea, vomiting, or headaches, narrowed visual fields, or diplopia. Fourth, unexplained drooling, facial paralysis, slurred speech, or tongue sticking out to one side. Fifth, multiple indicators of blood rheology examination are abnormal. If any of the above five conditions are present, we will regard it as a precursor to a stroke. When people reach old age, their blood vessels tend to be hardened, their blood tends to be viscous, and their emotions are not as stable as they were in middle age. In order to prevent stroke, they can take some medications.