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Hits:Updated:2022-10-28 13:10:40【Print】
| “Obviously, I was chatting, but it was wrong all of a sudden.”Recalling the scene of the illness a week ago, Shangguan grandma's family still have lingering fears. It was diagnosed that this was caused by rupture of intracranial aneurysm in the elderly. Ningbo Medical Center Li Huili Hospital neurosurgery experts remind,Autumn and winter are the high incidence periods of such diseases, and hypertension patients should strengthen blood pressure monitoring daily. Video production: reporter 陸麒雯 Shangguan Grandma lives in Fenghua. Although she is 91 years old, she can still take care of herself. On the morning of October 17, the old man was chatting happily with his family when he suddenly began to talk nonsense. He soon fell down on the edge of the chair in a daze and refused to answer any call. So, the family quickly called an ambulance to the local hospital for treatment. Once checked, it's an old manIt is caused by the rupture of an artery in the brain.The patient was seriously ill, and the ambulance sent the old man to Li Huili Hospital of Ningbo Medical Center for rescue. The emergency doctor took the rescue baton, and Zhou Jiang, the deputy director of neurosurgery, arrived immediately. At that time, Shangguan Grandma was already unconscious and could not move her hands and feet. The treatment requires surgery to remove the accumulated blood in the brain and stop bleeding. However, craniotomy for the 91 year old is risky. Zhou Jiang proposed a scheme to embolize and stop bleeding cerebral aneurysms by means of intervention. Through a catheter, the femoral artery of the thigh is retrograde to the cerebral artery, and then the ruptured cerebral artery is filled with a spring coil to stop bleeding. Finally, lumbar puncture is used to drain the intracranial hemorrhage. No craniotomy is required during the operation, only a 2mm puncture opening will be left.  Finally, the family accepted the suggestion. In less than an hour, the old man's operation was successfully completed. After a week of careful diagnosis and treatment, Shangguan Grandma left the hospital smoothly and walked home. “When the weather was cold, the number of patients with cerebral aneurysms increased significantly.”Zhou Jiang told reporters that,Since this round of cooling, the department has received 15 such patients. “If the human blood vessel is compared to a tire, the aneurysm is equivalent to a bulge on the fetal wall, but this bulge is very thin and easy to break.”Zhou Jiang compares an aneurysm to a brain tumor“Time bomb”Many elderly people have formed aneurysms in their brains due to hypertension and other factors. The elasticity of the elderly's blood vessels is poor, and the original aneurysm ruptures and bleeds due to vasoconstriction in cold weather.Once broken, it may cause disability or death. Zhou Jiang reminded that most aneurysms are related to hypertension, and patients with hypertension should pay special attention to protection. A week ago, Mr. Wang, 57, was admitted to the neurosurgery ward of Li Huili Hospital because of a ruptured cerebral aneurysm.  Mr. Wang lives in Yinzhou District. Late one night, he felt a headache when he left the gate after working overtime. He fell to the ground while walking, losing consciousness. His colleagues called an ambulance and sent him to the emergency department of Li Huili Hospital. In the first inspection, the blood pressure was 220/106mmHg, indicating that the rupture of cerebral aneurysm led to basal ganglia hemorrhage. Fortunately, CT showed that Mr. Wang's cerebral hemorrhage was not small. After symptomatic treatment, the doctor performed drilling and drainage to remove the accumulated blood. Thanks to timely treatment, Mr. Wang recovered smoothly without any sequelae. It is worth mentioning that Mr. Wang was diagnosed with hypertension during hospitalization.“I had high blood pressure several times before, but I didn't care if I wasn't uncomfortable.”He expressed a little chagrin. Zhou Jiang told Mr. Wang to actively treat hypertension and change his unhealthy lifestyle. “Blood pressure tends to rise or fluctuate in autumn and winter.”Zhou Jiang reminded that,Hypertension patients must strengthen blood pressure monitoring daily, follow the doctor's advice on medication, especially to quit smoking and limit alcohol consumption.In terms of lifestyle, he suggested to avoid staying up late or being too tired. It is not advisable to increase the intensity at once when exercising, but step by step. In addition, he also reminded citizensPay attention to keeping warm and avoid cold stimulation. |
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