After thrombolysis cerebral hemorrhage, how to do?(Stroke Science Popularization Series 33)

2022-05-06 0 By

We’ve been talking a lot about the benefits of thrombolytic therapy for acute cerebral infarction.Many even classify thrombolytic drugs as a kind of miracle drug that can be administered by anyone with no side effects.This is very wrong!When treating a patient with acute cerebral infarction, doctors will repeatedly inquire about the patient’s past medical history, surgical history, trauma history and allergy history, etc., and consider intravenous thrombolytic therapy only when the contraindications of thrombolytic therapy are excluded.Fatal cerebral hemorrhage but it is still inevitable that there will be post-thrombolytic cerebral hemorrhage.After thrombolysis, the hemorrhage was divided into symptomatic and asymptomatic intracerebral hemorrhage.Asymptomatic intracerebral hemorrhage is characterized by a relatively small blood volume, noncritical bleeding site, and no additional neurological deficits.Part of symptomatic intracerebral hemorrhage transformation is the manifestation of vascular recanalization after thrombolysis, and even indicates a good prognosis of patients.Asymptomatic cerebral hemorrhage symptomatic cerebral hemorrhage is to point out that the blood volume is relatively large, the bleeding site is more critical, aggravating the patient’s neurological deficit symptoms, for life-threatening, known as fatal cerebral hemorrhage.Fatal brain bleeding occurs in less than 1% of cases.Even if this probability is less than 1%, it is still relatively high for patients, so we must strictly screen patients suitable for intravenous thrombolysis before thrombolytic.Patients need to be screened for a detailed assessment by an experienced stroke physician, who recommends treatment that minimizes the risk of bleeding and maximizes the benefit.Follow Dr. Wei Xiangyang  to treat and prevent diseases without detours.