Treatment Time for Cerebral Infarction

Sep 29, 2024 Source: Cainiu Health
Disease description:

A neighbor has recently been experiencing frequent vomiting, which has prevented normal eating, and was diagnosed with cerebral infarction. When is the optimal treatment time for cerebral infarction?

Doctor's answer (1)
Dr. Lv Zhiqin

The timing of treatment for cerebral infarction is crucial and is generally considered to be within 4.5 hours after onset, a period known as the "thrombolytic time window." During this period, timely thrombolytic therapy can effectively restore cerebral blood flow, reduce damage to nerve cells, and thereby lower mortality and disability rates.

Specifically, the treatment of cerebral infarction can be divided into the following stages:

1. Early stage: Thrombolytic drugs, such as alteplase, can be administered to rapidly restore cerebral blood flow.

2. Acute phase: In addition to thrombolytic therapy, it is necessary to control baseline parameters such as blood pressure, blood glucose, and lipid levels, and to use antiplatelet agents and medications to stabilize atherosclerotic plaques.

3. Recovery phase: On the basis of prior medication, timely rehabilitation training should be initiated along with secondary prevention strategies for cerebrovascular disease.

Therefore, the optimal treatment window for cerebral infarction is very limited. Patients should seek medical attention promptly after symptom onset to enable timely and effective treatment within the critical therapeutic timeframe.