Diarrhea in the elderly may not only cause cerebral infarction. Uncle Wang, 75, recently suffered from diarrhea due to improper diet. He didn't take it seriously because of his normal physical fitness. He didn't want to have diarrhea. On the third day, he suddenly felt weakness in his right limb, numbness and heaviness. According to the patient's symptoms and signs and combined with the results of MRI, the doctor diagnosed cerebral infarction.
His family was puzzled. How did he get cerebral infarction after having diarrhea for three days? Professor Zhang huailiang, director of the Fourth District of encephalopathy in the First Affiliated Hospital of Henan University of traditional Chinese medicine, explained that Uncle Wang got 'watershed cerebral infarction'. The so-called watershed cerebral infarction is the cerebral infarction in the marginal zone between the adjacent arterial blood supply areas in the brain. The blood supply arteries in the marginal zone of the brain are some terminal branch vessels. Most of the elderly people have serious cerebral arteriosclerosis or stenosis. When the systemic hypotension and effective circulating blood volume decrease, the ischemic changes first occur in the marginal zone. The common causes include shock and numbness caused by various reasons Excessive intoxication, improper use of antihypertensive drugs, heart surgery combined with hypotension and severe dehydration, etc. Uncle Wang is due to severe diarrhea leading to dehydration and blood volume deficiency, and then cause cerebral infarction.
Watershed cerebral infarction after systematic treatment, the prognosis is generally good. In the acute stage, we should first correct hypotension, replenish blood volume, improve the hypercoagulable state of blood, carry out appropriate volume expansion treatment, give full play to the advantages of traditional Chinese medicine and acupuncture in the treatment of cerebrovascular diseases, and cooperate with modern rehabilitation and other comprehensive treatment methods, so that patients can recover soon.
As a modern Chinese medicine encephalopathy doctor, not only can use the diagnosis and treatment means of integrated traditional Chinese and Western medicine to achieve good curative effect in the treatment of cerebrovascular disease, but also can use the thought of preventive treatment of disease in traditional Chinese medicine to evaluate the health status of the elderly according to the functional symptoms and signs, blood lipid, blood glucose, hemorheology and other auxiliary examination results. According to the holistic view of traditional Chinese medicine and the theory of syndrome differentiation and treatment, and using the knowledge of traditional Chinese medicine and traditional Chinese medicine health preservation, we can do a good job in the prevention of cerebrovascular diseases, so that the elderly can really live in peace in their old age.