The acute bulbar infarction in the elderly oppressed the respiratory nerve. There are three highs. I dare not use thrombolytic drugs. Now I can't swallow and have difficulty breathing. In the intensive care unit, can you get better a little.
Condition Analysis:
First of all, it depends on the location of the infarct and the treatment effect. To be honest, if you ask the doctor if he can get better, he really doesn't have a good suggestion for you. After all, people can change a lot, but you can communicate with your attending doctor. After all, she knows the patient's situation best
Condition Analysis:
From the situation you described, if the patient is suffering from swallowing dysfunction caused by cerebral infarction, and there are no effective treatment measures, such as thrombolysis and vascular recanalization, the vast majority of such patients will have sequelae. Generally, they can undergo rehabilitation treatment later, but the possibility of complete recovery is unlikely. Unless the patient is transient and the cerebral blood attack may recover, otherwise, they cannot recover.
Condition Analysis:
The risk is very high. Patients with diabetes, hypertension and hyperlipidemia have brainstem infarction, medulla oblongata infarction, respiratory and heartbeat center position, dysphagia, bulbar narcosis, and obvious inhibition of dyspnea. They can go to the ventilator to assist in breathing, see a doctor, the infarct area is small, the edema may be relieved, and the progress of the disease may be life-threatening.
Condition Analysis:
At present, what we can do is to actively cooperate with the local specialized hospital for further drug treatment observation and later situation changes. Whether the current situation can be effectively improved and stabilized depends on the current body function, the blood absorption at the bleeding site, the effect of drug treatment and other factors to determine the prognosis of its treatment. We should cooperate with the treatment first, And then observe the later changes.
Guidance:
In this case, we must take active treatment. We can take drugs to reduce blood lipids. We can generally take some pungent for blood viscosity. We can also use mannitol for diuresis to reduce intracranial pressure by taking aspirin enteric coated capsules for Vastatin calcium. We should pay attention to a light and digestible diet and eat more fruits and vegetables.
Condition Analysis:
If there is acute medullary infarction or cerebral infarction, it is recommended to actively give aspirin enteric coated tablets and atorvastatin calcium tablets for treatment, and then if there are three high blood glucose, it is recommended to actively give blood pressure, glucose and lipid-lowering treatment. If blood glucose drugs are not well controlled, it can also be given subcutaneous insulin treatment. If I can't recommend it, I will have a good nerve rehabilitation and use cold water cotton swabs to stimulate the posterior pharyngeal wall
