How to treat bilateral thalamic infarction?

The treatment method of bilateral thalamic infarction is of concern to many patients and their families. Cerebral infarction brings inconvenience to patients' lives and also causes great psychological pressure. Patients should usually receive symptomatic treatment according to the doctor's orders. Patients should keep their airways open and get proper rest according to their condition. Many people still don't understand how to treat bilateral thalamic infarction. How to treat bilateral thalamic infarction? Let’s take a look at it next.

1. Diet and nutrition issues: Fasting is required on the day of onset, and nutrition is maintained by intravenous infusion. After 48 hours, depending on the condition, nasogastric feeding, medication and nutrition can be given. The patient's fluid intake and output should be accurately recorded every day to understand whether the daily input and output are balanced and whether they can meet the body's needs.

2. Bed rest: The patient must absolutely rest in bed and minimize visits and unnecessary movement to reduce brain metabolism, reduce brain oxygen demand, and reduce the chance of infection. The ward should be kept quiet and well ventilated. Those who are restless should pay special attention to a quiet environment, avoid light appropriately, reduce stimulation, and add bed rails to prevent falling out of bed and getting injured.

3. Prevention and treatment of gastrointestinal bleeding: Acute cerebrovascular disease is likely to cause gastrointestinal bleeding. If the patient has worsening disturbance of consciousness, continued increase in body temperature, rapid heart rate, low blood pressure, frequent hiccups, coffee-like gastric juice flowing from the corners of the mouth, or bleeding from the nose, the patient may be seriously ill.

4. Coffee-like gastric juice extracted from the feeding tube indicates gastrointestinal bleeding. It should be reported to a doctor promptly for treatment.

4. Prevention and treatment of bedsores: Due to coma, the skin of the elderly is dry and wrinkled, with poor elasticity and resistance. The skin has weak repair ability after damage, making it easy to develop compression injuries or bedsores. Therefore, it is necessary to take good care of the skin, change the lying position regularly, turn over once every 2 hours, and perform circular massage on the pressure parts to reduce the local pressure of body weight and promote local blood circulation. Give the patient a sponge bath twice a day, clean urine and feces at any time, keep the skin clean, dry and comfortable, and prevent bedsores.

5. Keep the airway open: Patients with impaired consciousness have a lot of respiratory secretions that are difficult to cough up. The tongue muscles are relaxed, which can easily cause the tongue to fall back and the swallowing reflex to be slow or disappear. Nasopharyngeal and oral secretions, vomit, etc. are easy to accumulate in the larynx and cause airway obstruction, and are easily inhaled into the lungs and cause aspiration pneumonia. Pay attention to keeping the oral cavity clean and the respiratory tract unobstructed, clear respiratory secretions at any time, turn over and pat the back regularly, and the patient should lie on his side or lie flat with the head tilted to one side to facilitate the discharge of secretions. If necessary, use a suction device to remove respiratory secretions. If the tongue root falls back, use tongue forceps to gently pull the tongue out.