Nursing progress of thrombolysis in acute cerebral infarction.doc

 PAGE \* MERGEFORMAT 11 Nursing progress of thrombolysis in acute cerebral infarction Acute cerebral infarction (AICD) is due to thrombosis caused by blockage of a cerebral vascular disease, characterized by high incidence, high morbidity, recurrence rate, mortality is high, conventional treatment can not achieve the desired results are reported in the literature about 3 / 4 of the survivors have different degrees of neurological impairment, seriously affecting the quality of life [1] . Most of the clinical arterial thrombosis with brain infarction, early reperfusion after thrombolysis for cerebral infarction is now considered acute premise and foundation of successful treatment. And do thrombolytic treatment care and observation of their assurance. infarction thrombolysis is close to several years of nursing progress are summarized below. A time window of thrombolysis Thrombolytic treatment of patients receiving treatment with the timing has a lot to the general requirements of the onset within 3h, but this period of time most patients can not be timely hospitalization treatment, suggesting that the incidence of 6h for the treatment of valid time within the window [2] . It was also time to define the thrombolysis within 12h, others reported the occurrence time of the infarct lt;24h persons with high dose urokinase thrombolysis made obvious effect [3] . 2 thrombolytic indications, contraindications and complications 2.1 indications: 2.1.1 aged 18 to 80 years old, 2.1.2 onset within 6h (6 ~ 12h may also be considered, CT, or MRI exclude intracranial hemorrhage, 2.1.3 conscious, paralyzed limb muscle strength from 0 to 3. 2.1.4 Stroke symptoms for at least 30 minutes, and the treatment was not improved, 2.1.5 The patient or family consent. 2.2 Contraindications: 2.2.1 blood glucose lt;2.7mmol / l, blood pressuregt; 26.0/14.6kPa, 2.2.2 active internal bleeding or known bleeding tendency, 2.2.3 almost 6 weeks, surgery