What to do if you are in coma due to cerebral blood vessel blockage
Coma caused by blockage of blood vessels in the brain (cerebral infarction) is a critical condition that requires immediate medical attention. The following are related topics and countermeasures that have been hotly discussed across the Internet in the past 10 days, organized into structured content based on medical advice.
1. Data on recent hot topics
| topic | heat index | Main discussion points |
|---|---|---|
| The golden rescue time for cerebral infarction | 8.5/10 | Effectiveness of thrombolytic therapy within 4.5 hours |
| Home emergency management for comatose patients | 7.2/10 | Posture management, avoidance of feeding |
| New technology in rehabilitation treatment | 6.8/10 | Transcranial Magnetic Stimulation (TMS) Applications |
| preventive health management | 9.1/10 | Three high control and regular screening |
2. Emergency treatment steps for coma
1.Call emergency number immediately: Coma is an emergency red warning symptom that requires the intervention of a professional team.
2.Keep airway open: Lie the patient on his side to remove foreign matter from the mouth to prevent suffocation.
3.Record key time points: The time of onset and last waking time directly affect the choice of treatment plan.
| time window | Available treatments | efficient |
|---|---|---|
| ≤4.5 hours | intravenous thrombolysis | About 30% improvement rate |
| 6-24 hours | mechanical thrombectomy | 50-60% recanalization rate |
3. Hospital treatment process
1.Imaging diagnosis: CT/MRI clearly identifies the location and extent of blockage.
2.specialist assessment: The NIHSS scoring system quantifies the degree of neurological deficit.
| Rating interval | Severity | Probability of coma |
|---|---|---|
| 0-5 points | Mild | <5% |
| 15-20 minutes | Severe | 70-80% |
3.intensive care: Including blood pressure management (target value 140-180mmHg), intracranial pressure monitoring, etc.
4. Things to note during the recovery stage
1.Wake-up treatment: Music therapy, family calls and other stimulation can increase the consciousness recovery rate by 15-20%.
2.Complication prevention: Turn over every 2 hours to prevent bedsores, and use passive movement to prevent joint contracture.
| Complications | incidence | Precautions |
|---|---|---|
| lung infection | 45-60% | Postural drainage, atomization |
| lower extremity venous thrombosis | 30% | Barotherapy |
5. Suggestions for preventing recurrence
1.Medication maintenance: The 5-year persistence rate of aspirin + statin drugs is only about 40%, and supervision needs to be strengthened.
2.lifestyle: A Mediterranean diet can reduce the risk of recurrence by 20%, and quitting smoking can improve prognosis by 35%.
3.Regular follow-up: Carotid artery ultrasound and coagulation function tests are recommended every 3-6 months.
Note: The above data are synthesized from the 2023 edition of the "China Stroke Prevention and Treatment Guidelines" and recent clinical research literature. Actual treatment must strictly follow the doctor's instructions.
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