脑血栓（Cerebral thrombosis）.docVIP

脑血栓（Cerebral thrombosis） The diagnosis and treatment of cerebral thrombosis (CT) 1. The diagnosis and treatment of cerebral thrombosis (CT) Diagnosis (1) often occurs under quiet conditions; (2) most of the onset had no obvious headache or vomiting. (3) the incidence of the disease is slow, more progressive or staged, and more related to cerebral atherosclerosis, but also can be seen in arteritis, blood diseases and so on. (4) consciousness is clear or slight obstacle 1 to 2 days after general onset. (5) the symptoms and signs of the internal carotid artery system and / or the vertebrobasilar artery system. (6) CT or MRI examination should be performed to detect infarction, or to exclude cerebral hemorrhage, tumor and inflammatory diseases. The diagnosis can be determined; (7) in the diagnosis of cerebral infarction seriously find the cause (atherosclerosis, arteritis, blood disease, moyamoya disease, Binswanger disease) and risk factors of stroke (hypertension, diabetes, heart disease, hyperlipidemia, TIA, smoking, obesity, abnormal blood rheology, asymptomatic carotid bruit, etc.) to merge hemorrhagic infarction and stroke monitoring is necessary. ? Two: we must pay attention to the following diseases identified: (1) cerebral hemorrhage: The main clinical cerebral infarction should be identified with cerebral hemorrhage, cerebral infarction and sometimes small cerebral hemorrhage clinical manifestation is quite similar, easily confused; in all of the differential points, and the speed of onset onset state has clinical significance. However, the clinical symptoms of large cerebral infarction can be similar to that of cerebral hemorrhage, but there is a big difference in the data of disease status, speed and other medical history. Therefore, we should pay great attention to it. Of course, the CT / MRI examination can provide a definite diagnosis. (2) cerebral embolism: Abrupt onset, often have a history of heart disease, heart disease, such as the embolic source of