How to treat transient ischemic attack?

summary

Transient ischemic attack (TIA) is a transient insufficiency of blood supply in the carotid or vertebrobasilar system, which causes focal cerebral ischemia and leads to sudden, transient and reversible neurological dysfunction. The attack lasted for several minutes, and usually recovered completely within 30 minutes. More than 2 hours, it often left a slight neurological deficit, or CT and MRI showed signs of cerebral ischemia. How to treat transient ischemic attack? Next, I'd like to share my views with you.

How to treat transient ischemic attack?

Low dose aspirin: can effectively inhibit platelet aggregation, commonly used dose is 30 ~ 50mg, once a day, long-term use. If there is ulcer disease or bleeding tendency, it is forbidden. Low molecular dextran: it can also inhibit platelet aggregation and expand blood volume. After acute attack, intravenous infusion of 500ml, once a day, 7-10 times as a course of treatment. It should be used with caution for heart and kidney diseases.

Calcium antagonists can block calcium channels, prevent intracellular calcium overload, protect brain cells and dilate blood vessels. The commonly used drug is naoyiqin 25mg orally, 2-3 times a day. Flunarizine hydrochloride 5-10mg orally once a night. Nimodipine 20mg orally, 3 times a day.

Surgical treatment can be considered if the diagnosis of TIA is due to extracranial arterial lesions. At present, the surgical methods for cerebral arterial occlusive diseases are: ① intimal dissection and repair. ② There are two kinds of vascular reconstruction, such as artery resection transplantation, artery bypass grafting and so on.

matters needing attention

Keep good living habits, work and rest on time, avoid overwork, keep emotional stability, adjust mentality and add life interest; Also pay attention to regular review of blood pressure, blood lipids, blood sugar, etc. In diet, patients with transient ischemic attack can eat more blood activating food: eggplant, persimmon, lotus root, cabbage, black fungus, peach, etc. At the same time, patients should abstain from smoking and drinking and eat less spicy food. Low salt and low sugar diet.