According to the acute etiology, thrombolytic therapy is feasible for those with indications, and hospitals with conditions should include stroke patients in stroke unit for treatment.

Actively treat primary disease, keep respiratory tract unobstructed and take oxygen, control blood pressure and blood sugar, reduce intracranial pressure, treat fever, infection, upper gastrointestinal bleeding and water-electrolyte disorder, control epilepsy, prevent deep vein thrombosis and treat pulmonary embolism.

medicine

There is no specific medicine for cerebral infarction, and only symptomatic support drugs can be used; Generally, drugs are used for neuroprotection and improving cerebrovascular circulation.

Neuroprotective drugs

Traditional drugs include edaravone and choline cytidine diphosphate. In addition, butyl phenyl peptide has a unique effect in the treatment of neurological deficit.

Drugs for improving cerebrovascular circulation

At present, the use of human urinary kininogenase is often considered in clinic, and it must be evaluated by doctors before taking it.

Surgical therapy

If there are no contraindications, craniotomy or partial brain tissue resection can be performed for large cerebral infarction in the cerebral hemisphere.

Carotid endarterectomy can be considered for patients with carotid artery stenosis exceeding 50% according to specific conditions.

Interventional therapy

Interventional therapy includes percutaneous transluminal angioplasty of intracranial and extracranial vessels and endovascular stent implantation.

Traditional therapy in China

The specific curative effect and mechanism of TCM treatment have not been further confirmed, which depends on the wishes of patients. For example, some related Chinese patent medicines commonly used in hospitals, such as Sanqi, Danshen, Carthamus tinctorius, Lumbricus and Ginkgo biloba, need more high-quality randomized controlled trials to further confirm their efficacy.