回复:急问脑中风问题

来源: MDGG 2006-01-23 16:14:19 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 0 次 (1037 bytes)
Several keys points here without knowing further details:
1. Sounds like they did i.v. tPA. Is the time from the stroke to start of tPA within 6 hours, assumeing it is a right cereberal infarct not cerebellum infarct? If it is over 6 hours and the time was documented on the chart, then the tPA should not have been used.
2. There is hemorrhagic conversion of the ischemic stroke due to tPA. There is now even intraventricular (很里面) and subarachnoid bleed (血到脑表面). The tube (插了根管子) is the ventriculostomy tube and is for drain the CSF fluid and blood, and to decrease intracranial pressure to prevent herniation (which causes death). She will need multiple head CTs.
3. If the tube is working without other complications, there will be no immediate生命危险, supposing no further bleed will happen. But damage to her right brain will happen and a long rehab will be anticipated.
4. If she is not intubated (insertion of breathing tube), then her brain stem is working fine, a good sign.

Hope that helps.
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