How should aspirin be taken for cerebral infarction?

Written by Wang Li Bing

Intensive Care Medicine Department

Updated on May 30, 2025

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Aspirin should be taken for cerebral infarction. It can be used not only during the acute phase of cerebral infarction but also for secondary prevention treatment. If a patient suffers a cerebral infarction, thrombolytic interventional surgery can be conducted during the acute phase window. If the patient has missed the time for surgery, then choosing antiplatelet drugs like aspirin and clopidogrel, along with atorvastatin for lipid regulation and stabilizing plaques, is advisable. A follow-up CT should be done dynamically, and changes in the patient's consciousness and pupils should be monitored.

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Is lacunar infarction a serious illness?

Lacunar stroke is a condition where small blood vessels in the cerebral hemispheres or brainstem undergo pathological changes and eventually become occluded as a result of common risk factors such as prolonged hypertension or diabetes. This leads to the necrosis of brain tissue. Typically, the infarct size is less than 1.5 to 2 centimeters, resulting in clinical syndromes associated with impaired neurological functions governed by the affected area. Often, lacunar strokes may be asymptomatic in some patients, while others may experience mild symptoms. Generally, the prognosis of this disease is good.

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Can moxibustion be used for lacunar infarction (a type of stroke)?

Lacunar stroke is when small blood vessels in the deep parts of our brain's hemispheres or brainstem, under the long-term influence of high blood pressure, diabetes, or other risk factors, cause the supplying arteries to undergo ischemic necrosis. The affected areas typically have a diameter of less than 1.5 to 2 centimeters, leading to an acute syndrome of neurological function impairment. Treatment of this disease first depends on the patient's age and risk factors to decide whether to use medication. Also, the prognosis is generally good; there is no need for moxibustion, as moxibustion has neither benefits nor harms for lacunar stroke.

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Written by Zhang Hui

Neurology

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What is the cause of swollen feet after a stroke?

Patients with cerebral infarction presenting with swollen feet and lower limb edema should be aware of the following reasons. The first scenario is due to reduced activity in the limbs on the paralyzed side, which results in weaker muscle contraction. Consequently, a large amount of blood accumulates in the lower limb veins, causing poor circulation and naturally leading to swollen feet. Therefore, it is crucial for patients to begin early rehabilitation training, engage in muscle massage, and perform passive joint exercises, among other activities. The second scenario that requires close attention is the formation of venous thrombosis in the lower limbs on the paralyzed side after a cerebral infarction. This condition can easily lead to venous thrombosis, which significantly contributes to foot swelling. Furthermore, it increases the risk of pulmonary embolism. It is important to complete routine coagulation tests and d-dimer examinations, as well as comprehensive lower limb venous Doppler ultrasound assessments.

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Written by Liu Yan Hao

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54sec

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Can a cerebral infarction be effectively treated?

Most cases of cerebral infarction can be treated effectively, except for some extensive cerebral infarctions, which may leave varying degrees of sequelae. During the acute phase of treatment for cerebral infarction, medications that promote blood circulation, improve circulation, prevent platelet aggregation, and anti-atherosclerosis drugs are used. If treatment can be administered within three hours of onset, intravenous thrombolysis can be performed, which may lead to a faster recovery if successful. Additionally, medications that eliminate free radicals are used during the acute phase to remove free radicals that damage brain cells. Other treatments involve the use of neurotrophic drugs to support the repair of damaged brain cells. After stabilizing the condition, active rehabilitation exercises are recommended, and most patients can be effectively treated.

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Written by Zhang Hui

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Can people with cerebral infarction eat eggs?

For patients with cerebral infarction, it is acceptable to eat egg whites. Egg whites contain abundant amino acids which can enhance the body's resistance and ensure adequate nutrition for the patient. For cerebral infarction, it is advisable to consume fewer egg yolks. Additionally, egg yolks have a relatively high cholesterol content, which is not conducive to controlling blood lipids in patients. Thus, egg whites can be consumed, but egg yolks should be eaten in moderation. Moreover, patients with cerebral infarction should also consume plenty of fresh vegetables and fruits, which are rich in folic acid and can help fight arteriosclerosis. Additionally, it is beneficial to eat foods rich in unsaturated fatty acids, such as some deep-sea fish and olive oil.