The 56-year-old woman died of a sudden cerebral infarction, and the doctor sighed: one thing after a meal, or 'the root cause'

One night last week, an ambulance swooped in to deliver an unconscious female patient. A group of people in the emergency room shouted, "Doctor, doctor, save her, she's not responding"

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The patient is 56-year-old Auntie Li, who has just retired for less than a year. Her son is working in other places, and she is unemployed at home after her retirement. I usually have nothing to do, I feel that life is relatively boring, and I don't do square dancing.

Half a year ago, I started playing cards in the mahjong room of the community, playing cards almost every day until the early morning, and occasionally playing cards all night. Because Auntie Li suffered from high blood pressure for 5 years, both her wife and son advised her to play less cards, especially not to stay up late, but the results were minimal. She believes that she is taking antihypertensive drugs every day, and her blood pressure will not be high, so she "persistently playing cards" as always.

On the night of the onset, Auntie Li started a new round of poker games after having dinner. After 2 hours of playing, she felt a little dizzy. The mahjong room owner gave her a glass of milk. She felt better and continued.” fighting". Unexpectedly, because of the problem of "touching cards" on the poker table, Auntie Li was very angry and got into a dispute with a poker friend, and soon blushed and had a thick neck. During the quarrel, she felt more dizzy and fell to the ground with her eyes darkened. Seeing this, her friends quickly dialed 120 to call an ambulance and took her to the hospital.

When the patient arrived at the emergency room, the person had lost consciousness, no response to calls, and no movement of limbs. Blood pressure was measured at 180/105mmHg, heart rate was 104 beats/min, and a head CT was performed immediately.

massive cerebral infarction

The patient had only been onset for more than an hour, and the doctor suggested intravenous thrombolysis, and the family members signed and agreed to thrombolysis. After thrombolytic therapy, the patient's condition did not improve significantly.

One day later, the head CT was reviewed, and the patient developed brain herniation (large area cerebral infarction is prone to deterioration of this condition), shallow and slow breathing, and the breathing rate was also reduced. Active dehydration, circulation improvement, blood pressure reduction, oxygen inhalation and other treatments were given. On day 3 of the onset, the patient finally developed cardiac arrest and was pronounced dead.

Regarding the patient's death, the doctor sighed: At this age, I should be enjoying my retirement life, how can I play cards every day.

Staying up late to play cards for a long time, anger and mood swings are the clear incentives for cerebral infarction, and high blood pressure is a risk factor. The patient usually has high blood pressure, and usually does not pay attention to control it. Although he is taking medicine, he has rarely measured his blood pressure, and it is unclear whether the blood pressure is controlled to the normal range. Moreover, playing cards for a long time and sitting for a long time will lead to poor blood circulation, slow blood flow, and it is easy to form blood clots in the blood vessels. As a result, when she gets excited, her blood pressure soars and her heart rate increases, resulting in faster blood flow and an impact on the blood vessel wall. The force increases significantly, causing plaque or thrombus in the blood vessel wall to fall off, blocking the cerebral blood vessels and causing cerebral infarction.

Doctor's advice: There are 5 signs in the body, or suggest that a cerebral infarction is coming, please seek medical treatment as soon as possible

Sign 1: Drooling

• Drooling is one of the common signs of cerebral infarction. It can occur during the day and at night. It is more obvious when sleeping at night. A lot of drooling can be found on pillows and sheets the next day. It is mainly manifested as uncontrolled drooling, which may even be Being choked awake, some people will also be accompanied by slanted corners of the mouth and unfavorable speech.
• This is because the blood supply to the cerebrovascular system is insufficient or blocked, which leads to the weakening of the control of the cerebral central nervous system on the activities of the pharyngeal muscle and the tongue muscle, which makes the oral activity uncontrolled, resulting in drooling.
• Drooling may last for minutes or seconds, but it tends to recur.

Sign 2, Yawning

• Generally, before the onset of cerebral infarction, due to risk factors such as high blood pressure, high blood lipids, and staying up late, the blood supply to the brain is insufficient, and the blood flow slows down, resulting in cerebral ischemia and hypoxia, and there will be signs of continuous yawning and sleepiness.
• Yawning is through the expansion of the lungs to supplement the oxygen needed by the brain, so yawning is continuous.

Sign 3, slurred speech

• Slurred speech and unclear speech is one of the typical signs of cerebral infarction. It is due to insufficient blood supply to the language center area of ​​the brain, causing symptoms of neurological deficits. Aphasia occurs.

Symptom 4, numbness of hands and feet

• Numbness of hands and feet is also one of the more common signs of cerebral infarction patients, mainly manifested as numbness in one hand and foot, sometimes accompanied by numbness of the face, tongue, and lips, most of which are caused by slow blood flow and insufficient blood supply to the brain.

Symptom 5: Dizziness and headache

• Dizziness is a common symptom in life, such as colds, fatigue, staying up late, blood pressure fluctuations, and elevated blood sugar may cause dizziness.
• However, dizziness is also one of the signs of cerebral infarction, which is caused by the slowing of blood flow, resulting in temporary insufficient blood supply to the brain, which may be accompanied by headache, blurred vision, tinnitus, etc. If dizziness and headache occur frequently for a period of time, accompanied by If you have high blood pressure and high blood lipids, you should be more alert to cerebral infarction.

To prevent cerebral infarction, please do three things well, maintain blood vessels, and do not disturb cerebral infarction!

1. Drink more water

• When people reach middle age, the rate of water loss is accelerated, which can easily lead to slow blood flow and needs to be replenished in time.
• Water is the best thinner for blood. Drinking plenty of water can help the body remove toxins, promote blood circulation, and reduce atherosclerosis.
• Drinking more water can reduce weight. Studies have shown that water-induced thermogenesis may increase metabolic rate by 24~30%, which will burn more energy, reduce weight, and avoid chronic diseases such as hypertension, diabetes, and hyperlipidemia. Ultimately reduce the risk of cerebral infarction.
• WHO recommends that adults drink 8 glasses of water a day, about 2000ml is appropriate. Drinking water on an empty stomach in the morning is one of the best times to drink water.

2. Insist on exercising for half an hour every day

• Insist on exercising for half an hour every day. If it is not possible, make sure to exercise 5 days a week. Exercise can increase the speed of metabolism, promote blood circulation, speed up blood flow, and reduce the chance of plaque and thrombus formation in blood vessels, thereby reducing cerebral infarction. .
• Studies have shown that regular exercise can increase HDL (good cholesterol) levels to counteract the atherosclerosis-promoting effects of LDL (bad cholesterol) and triglycerides.
• Exercise helps maintain a healthy weight, and it is recommended to keep a BMI <24 based on body mass index (BMI). BMI=weight (kg)/height squared (m2). For example: an adult weighs 65 kilograms (kg), is 1.70 meters (m) tall, and has a BMI=65/(1.7*1.7)=22.5, which is a healthy weight.
• It is recommended to focus on aerobic exercise, including jogging, brisk walking, swimming, cycling, and Tai Chi.

3. Adequate sleep

• A study published in the Journal of the American College of Cardiology followed 3,974 healthy adults for up to ten years. The results of the study showed that people who slept less than 6 hours a night had a 27% increased risk of atherosclerotic plaque formation compared to those who slept 7 to 9 hours a night.
• A Chinese study published in the journal Neurology in 2020 followed nearly 32,000 people with an average age of 62 over several years. The results of the study showed that people who slept >9 hours per night had a 23% higher risk of cerebral infarction than those who slept <8 hours per night.
• Doctor's advice: Ensure that you sleep for 7 to 9 hours at night, take a nap for half an hour, and sleep too much or too little is not good.

Doctor's Note: Diet is also very important to prevent cerebral infarction. I have a detailed description in my other article. You can go and see it, and I won't repeat it here.

Epilogue

Although the mortality rate of cerebral infarction is not as high as that of myocardial infarction, the high disability of cerebral infarction is even more terrible. Many patients have said, "I'm not afraid of death, but I'm afraid of being paralyzed, so I eat, drink, and scatter in bed."

In fact, you don't need to worry too much, because research shows that 80% of cerebral infarction can be prevented. Therefore, we must master the relevant knowledge about cerebral infarction. Actively control risk factors (three highs, heart disease, obesity, smoking and drinking, snoring, hyperhomocysteinemia), drink more water, exercise more, eat more fruits and vegetables, ensure adequate sleep, emotional stability, regular physical examination, Rational drug use can greatly reduce the risk of cerebral infarction.