What is the best treatment for cerebral infarction?
In the treatment of cerebral infarction, there is no best option, only the most suitable one based on the different conditions at the time. Generally speaking, there are several major aspects. First, it is necessary to improve cerebral circulation. One method is thrombolysis, and another is interventional treatment. One of these two approaches is chosen depending on the specific conditions, including corresponding contraindications and indications. Next, treatments can include antiplatelet aggregation, anticoagulation, fibrinolytic therapy, volume expansion, vasodilation, and improving cerebral blood circulation. Furthermore, there is neuroprotective treatment and other therapies like hyperbaric oxygen and hypothermia. Another major category is general management, which, in addition to symptomatic treatment, includes life support such as oxygenation, cardiac monitoring, managing cardiac complications, temperature control, blood pressure control, blood sugar control, and nutritional support. Additionally, there is treatment for acute-phase complications such as cerebral edema, epilepsy, swallowing difficulties, pneumonia, urinary retention and infection, and deep vein thrombosis. Finally, there is early rehabilitation therapy. After a stroke, in a stable condition, it is important to engage in activities such as sitting, standing, and walking as much as possible, and to focus on rehabilitation training in speech, movement, psychology, and other aspects, aiming to quickly restore the ability to perform daily activities independently.
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