What to do about severe vascular blockage caused by stroke
Disease description:
After Grandpa had a stroke, the doctor said there was a severe blockage in the cerebral blood vessels. What should be done for a severely blocked blood vessel causing a stroke?
Doctor's answer (1)
Dr. Huang Shichang
When there is severe vascular occlusion due to stroke, the following measures can be taken:
1. Emergency thrombolytic therapy: If the patient arrives within 4.5 hours of symptom onset and meets the indications for thrombolysis, timely thrombolytic treatment should be administered, such as using reteplase, to rapidly restore vascular patency.
2. Surgical treatment: Patients with appropriate indications may consider intracranial vascular stent therapy, through which the blocked vessel can be opened surgically to stabilize the patient's condition.
3. Medication therapy: Within 24 hours after thrombolysis, secondary prevention should be initiated immediately, including oral anti-platelet aggregation drugs (e.g., aspirin, clopidogrel) and statins (e.g., rosuvastatin, atorvastatin), to prevent re-occlusion and combat atherosclerosis.
4. Comprehensive nursing care: Family members should provide proper care for the patient, closely monitor changes in vital signs, and cooperate with the physician's treatment plan.
