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Behind the cold data is the harsh truth
behind the cold data that 1 in 4 people in the world will have a stroke (commonly known as "stroke"), 1 person will die of stroke every 6 seconds, and 1 person will be disabled by stroke every 6 seconds.
One person strokes, the whole family "goes crazy", one person is paralyzed, and the whole family is "paralyzed", but such a terrible stroke is not unpreventable and incurable
.
Figure 1.
Characteristics of stroke [1] Note: 39.
9% This data refers to the risk of stroke in people over 25 years old, the stroke incidence is 246.
8/100,000, and the stroke mortality rate is 153.
6/100,000 October 29,
2022 is the 17th "World Stroke Day"," Medical Neurology Channel "I am honored to invite Professor Liu Jianmin of the First Affiliated Hospital of Naval Military Medical University to give us an in-depth interpretation of stroke treatment related knowledge, for the life and health of yourself, friends and family, let's learn together ~
There are actually 3 opportunities to reverse fate
First of all, Professor Liu Jianmin introduced us to 3 opportunities
for stroke patients to reverse their fate.
Stroke is not strictly geriatric and can occur at any time at all ages, with vascular risk factors being the main cause
of its occurrence.
Professor Liu Jianmin reminded: "Love your veins, from now on, whether you are young, middle-aged, or elderly
.
"
Therefore, the first chance to stay away from stroke is prevention, and developing good eating habits and maintaining a healthy lifestyle from an early age is likely to keep stroke out
.
"
Figure 2.
Ways to prevent stroke[1]
However, as we age, in the face of social pressures and family pressures, it may be inevitable to have some bad eating habits and lifestyles, such as drinking, smoking, sedentary, lack of exercise, staying up late, etc.
, but have not yet developed into definite diseases
at a young age 。 When entering middle and old age, with the accumulation of time, especially after the age of forty or fifty, it may be diagnosed with basic diseases such as hypertension, diabetes, blood lipid disorders, etc.
, and there are more and more high-risk factors, at this time, we must pay attention to screening, which is a second chance
to stay away from stroke.
Screening is not only screening, there must be follow-up positive actions, Professor Liu Jianmin talked about this, for example: if the examination finds severe carotid artery stenosis or severe vascular lesions, at this time to further strengthen to maintain a good lifestyle, follow the doctor's advice, adjuvant drug treatment, control hypertension, diabetes and other basic diseases, then the risk of stroke will also be minimized
.
If the first two opportunities were missed, in fact, there is now a third and possibly the last opportunity - after the stroke, it is transferred to the hospital through 120 for emergency treatment, and if the rescue is timely, you can still return to a healthy life
.
Is it not the same as many people's impression that "once a stroke occurs, the person is finished, either death or paralysis"?
Indeed, if the stroke is treated late, there is a high probability of either paralysis or death
.
However, the treatment is "fast" enough, the stroke can be treated, and the patient can recover as before, which is also the last chance for most people!
What kind of "fast" can seize the last opportunity?
Professor Liu Jianmin introduced that the first is rapid identification, and "Stroke 120" and "BE-FAST" mantras (Figure 3) are two effective and easy-to-popularize methods
.
Figure 3.
"Stroke 120" and "BE-FAST" tips for rapid stroke recognition[1]
When you find that someone/yourself has facial paralysis, weakness in one hand, sudden eye invisibility, sudden unsteadiness, unclear speech and other suspected stroke symptoms, be sure to call the 120 emergency number as soon as possible
。 Because after stroke, about 1.
9 million brain cells die every minute, and brain tissue and its innervated motor, language, cognitive and emotional functions will also be gradually lost, and if not rescued in time, it may eventually lead to disability or death
.
However, if the symptoms of stroke can be recognized early, and the patient is promptly sent to the (comprehensive) stroke central hospital with the ability to treat stroke patients within 4.
5 hours of onset, and receives standardized vascular opening treatment, most of them can be significantly recovered, or even completely recovered, and the healthy and good quality of life will be saved
.
Therefore, the second "fast" is to quickly reach the (comprehensive) stroke central hospital
with conditional treatment 。 There are two points to note here, one is to choose the fastest way to get to the hospital, generally speaking, 120 emergency ambulance will drive faster than driving and taking a taxi by yourself; The second is to send to a hospital with conditional treatment, if sent to a hospital without a stroke green channel, the patient may be delayed for 1~2 hours or even longer, during which brain cells continue to die, and eventually it may be difficult to rescue
.
The third "fast" is rapid decision-making, as mentioned earlier, patients within 4.
5 hours of the onset of the timely treatment effect will be better, this is after clinical research, with life to draw conclusions, therefore, patients and/or family members must quickly make a choice of treatment plan, quickly complete informed consent, so that the treatment can be carried out
smoothly.
Common treatments include intravenous thrombolysis and mechanical thrombectomy (Figure 4).
Figure 4.
Intravenous thrombolysis on the left and mechanical thrombectomy on the right[1].
Speaking of this, Professor Liu Jianmin said sadly: "Our hospital's stroke center has been built for many years, the green channel is very mature, the median time for stroke patients from admission to the start of treatment is 20 minutes, and the fast may be 9 minutes, which is close to the limit in the internal process and efficiency of the hospital, but there are still many patients due to extra-hospital factors such as late recognition and late arrival, resulting in a long time from onset to treatment, and a poor prognosis, which is why the theme of World Stroke Day is 'Identify stroke one second earlier, Save the brain and recover well', the core of stroke treatment is to be fast and fast
.
"
You can't take
chances with a stroke For some people, they have 2 or even multiple opportunities to change their destiny, different from the classic stroke once the consequences are serious, there is also a type called transient ischemic attack, the symptoms are similar to stroke, such as sudden dizziness, headache, sudden blurred vision, etc.
, but the symptoms are not very serious, often after a while
.
"Stroke is complicated in that there are many patients whose symptoms are relatively mild, if patients know that there is a transient 'small stroke' called transient ischemic attack, hurry up to the hospital for examination, often have a better prognosis
.
" If not checked and treated in time, repeated small strokes may eventually usher in a major stroke, so you must be vigilant! Professor Liu Jianmin introduced
.
Then, Professor Liu Jianmin gave us a personal case: "My mother suddenly fainted very badly at home not long ago, called me, I didn't hesitate for a moment, at ten o'clock in the evening, immediately asked her to go to the nearest stroke center, and quickly did
the vascular CT.
" Then you can't say think about it, wait until you sleep tomorrow morning, or wait for my son to come back, it will be a big trouble! At this time, do not expect any relatives, first dial 120, and then slowly notify the family, otherwise the opportunity will be fleeting
.
When my mother arrived at the hospital, she found that there was not much problem through the examination, but once it was a precursor to stroke and did not go to the hospital in time, the opportunity
was lost.
So, whether it's a problem or no problemWe should all call 120 to the nearest stroke center as soon as the symptoms of a suspected stroke appear, and we should not gamble
with our lives.
Professor
Liu Jianmin, the first integrated stroke center construction model in
Changhai Hospital, said that Chinese hospitals are divided into disciplines and have clear positions.
Patients with complex conditions may have to go through a dozen or even two dozen processes to be diagnosed and then treated
.
For diseases that do not have much time requirements, it is natural to follow the steps, but for strokes that kill about 1.
9 million brain cells per minute, we must build efficient green channels that allow patients to only go where
they should be.
After more than 20 years of active exploration, Shanghai Changhai Hospital has finally achieved "patient-centered", "patients do not move, doctors and nurses move", cancel routine processes such as registration, waiting, and payment, and take "post-treatment payment", stroke patients only need to go to the medical guidance desk, CT room and operating room and other places
that must go.
Figure 5.
Green Channel Process[1]
"This model is known as the 'Changhai model' by the state, and Shanghai Changhai Hospital shortens the time between the arrival of stroke patients and the start of treatment from 2 hours to 20 minutes
.
" Professor Liu Jianmin added: "This matter is very simple to say, but it breaks the boundaries of traditional disciplines, changes the original medical concept, and changes the original medical system, which is full of
difficulties.
It
is the "Changhai mode" that allows patients to receive rapid and accurate diagnosis, examination and treatment
as soon as they arrive at the hospital.
Grasping the last opportunity is the struggle of medical care, and it is even more necessary for patients to work together
At present, there are stroke centers everywhere, which is also the result of the "Changhai model" being promoted to the whole country, as the time to arrive at the hospital to treatment is shortened almost to the limit, the space to improve the treatment effect of stroke patients is more in shortening the time for patients from onset to the hospital, and the key point to shorten this time is to improve public awareness, timely identification, rapid transportation, rapid decision-making (informed consent), for stroke patients, every point earned, Every second counts
.
It is hoped that readers will actively disseminate and let more people know about stroke
.
The core of stroke treatment is fast, time is the brain! Identify the symptoms of stroke, seize precious time, race against time to save lives, we work together!
Expert profiles
More about stroke?
Come to the "Doctor Station" and take a look 👇
Time is the brain, time is life
.
Behind the cold data is the harsh truth
behind the cold data that 1 in 4 people in the world will have a stroke (commonly known as "stroke"), 1 person will die of stroke every 6 seconds, and 1 person will be disabled by stroke every 6 seconds.
One person strokes, the whole family "goes crazy", one person is paralyzed, and the whole family is "paralyzed", but such a terrible stroke is not unpreventable and incurable
.
Figure 1.
Characteristics of stroke [1] Note: 39.
9% This data refers to the risk of stroke in people over 25 years old, the stroke incidence is 246.
8/100,000, and the stroke mortality rate is 153.
6/100,000 October 29,
2022 is the 17th "World Stroke Day"," Medical Neurology Channel "I am honored to invite Professor Liu Jianmin of the First Affiliated Hospital of Naval Military Medical University to give us an in-depth interpretation of stroke treatment related knowledge, for the life and health of yourself, friends and family, let's learn together ~
There are actually 3 opportunities to reverse fate
First of all, Professor Liu Jianmin introduced us to 3 opportunities
for stroke patients to reverse their fate.
Stroke is not strictly geriatric and can occur at any time at all ages, with vascular risk factors being the main cause
of its occurrence.
Professor Liu Jianmin reminded: "Love your veins, from now on, whether you are young, middle-aged, or elderly
.
"
Therefore, the first chance to stay away from stroke is prevention, and developing good eating habits and maintaining a healthy lifestyle from an early age is likely to keep stroke out
.
"
Figure 2.
Ways to prevent stroke[1]
However, as we age, in the face of social pressures and family pressures, it may be inevitable to have some bad eating habits and lifestyles, such as drinking, smoking, sedentary, lack of exercise, staying up late, etc.
, but have not yet developed into definite diseases
at a young age 。 When entering middle and old age, with the accumulation of time, especially after the age of forty or fifty, it may be diagnosed with basic diseases such as hypertension, diabetes, blood lipid disorders, etc.
, and there are more and more high-risk factors, at this time, we must pay attention to screening, which is a second chance
to stay away from stroke.
Screening is not only screening, there must be follow-up positive actions, Professor Liu Jianmin talked about this, for example: if the examination finds severe carotid artery stenosis or severe vascular lesions, at this time to further strengthen to maintain a good lifestyle, follow the doctor's advice, adjuvant drug treatment, control hypertension, diabetes and other basic diseases, then the risk of stroke will also be minimized
.
If the first two opportunities were missed, in fact, there is now a third and possibly the last opportunity - after the stroke, it is transferred to the hospital through 120 for emergency treatment, and if the rescue is timely, you can still return to a healthy life
.
Is it not the same as many people's impression that "once a stroke occurs, the person is finished, either death or paralysis"?
Indeed, if the stroke is treated late, there is a high probability of either paralysis or death
.
However, the treatment is "fast" enough, the stroke can be treated, and the patient can recover as before, which is also the last chance for most people!
What kind of "fast" can seize the last opportunity?
Professor Liu Jianmin introduced that the first is rapid identification, and "Stroke 120" and "BE-FAST" mantras (Figure 3) are two effective and easy-to-popularize methods
.
Figure 3.
"Stroke 120" and "BE-FAST" tips for rapid stroke recognition[1]
When you find that someone/yourself has facial paralysis, weakness in one hand, sudden eye invisibility, sudden unsteadiness, unclear speech and other suspected stroke symptoms, be sure to call the 120 emergency number as soon as possible
。 Because after stroke, about 1.
9 million brain cells die every minute, and brain tissue and its innervated motor, language, cognitive and emotional functions will also be gradually lost, and if not rescued in time, it may eventually lead to disability or death
.
However, if the symptoms of stroke can be recognized early, and the patient is promptly sent to the (comprehensive) stroke central hospital with the ability to treat stroke patients within 4.
5 hours of onset, and receives standardized vascular opening treatment, most of them can be significantly recovered, or even completely recovered, and the healthy and good quality of life will be saved
.
Therefore, the second "fast" is to quickly reach the (comprehensive) stroke central hospital
with conditional treatment 。 There are two points to note here, one is to choose the fastest way to get to the hospital, generally speaking, 120 emergency ambulance will drive faster than driving and taking a taxi by yourself; The second is to send to a hospital with conditional treatment, if sent to a hospital without a stroke green channel, the patient may be delayed for 1~2 hours or even longer, during which brain cells continue to die, and eventually it may be difficult to rescue
.
The third "fast" is rapid decision-making, as mentioned earlier, patients within 4.
5 hours of the onset of the timely treatment effect will be better, this is after clinical research, with life to draw conclusions, therefore, patients and/or family members must quickly make a choice of treatment plan, quickly complete informed consent, so that the treatment can be carried out
smoothly.
Common treatments include intravenous thrombolysis and mechanical thrombectomy (Figure 4).
Figure 4.
Intravenous thrombolysis on the left and mechanical thrombectomy on the right[1].
Speaking of this, Professor Liu Jianmin said sadly: "Our hospital's stroke center has been built for many years, the green channel is very mature, the median time for stroke patients from admission to the start of treatment is 20 minutes, and the fast may be 9 minutes, which is close to the limit in the internal process and efficiency of the hospital, but there are still many patients due to extra-hospital factors such as late recognition and late arrival, resulting in a long time from onset to treatment, and a poor prognosis, which is why the theme of World Stroke Day is 'Identify stroke one second earlier, Save the brain and recover well', the core of stroke treatment is to be fast and fast
.
"
You can't take
chances with a stroke For some people, they have 2 or even multiple opportunities to change their destiny, different from the classic stroke once the consequences are serious, there is also a type called transient ischemic attack, the symptoms are similar to stroke, such as sudden dizziness, headache, sudden blurred vision, etc.
, but the symptoms are not very serious, often after a while
.
"Stroke is complicated in that there are many patients whose symptoms are relatively mild, if patients know that there is a transient 'small stroke' called transient ischemic attack, hurry up to the hospital for examination, often have a better prognosis
.
" If not checked and treated in time, repeated small strokes may eventually usher in a major stroke, so you must be vigilant! Professor Liu Jianmin introduced
.
Then, Professor Liu Jianmin gave us a personal case: "My mother suddenly fainted very badly at home not long ago, called me, I didn't hesitate for a moment, at ten o'clock in the evening, immediately asked her to go to the nearest stroke center, and quickly did
the vascular CT.
" Then you can't say think about it, wait until you sleep tomorrow morning, or wait for my son to come back, it will be a big trouble! At this time, do not expect any relatives, first dial 120, and then slowly notify the family, otherwise the opportunity will be fleeting
.
When my mother arrived at the hospital, she found that there was not much problem through the examination, but once it was a precursor to stroke and did not go to the hospital in time, the opportunity
was lost.
So, whether it's a problem or no problemWe should all call 120 to the nearest stroke center as soon as the symptoms of a suspected stroke appear, and we should not gamble
with our lives.
Professor
Liu Jianmin, the first integrated stroke center construction model in
Changhai Hospital, said that Chinese hospitals are divided into disciplines and have clear positions.
Patients with complex conditions may have to go through a dozen or even two dozen processes to be diagnosed and then treated
.
For diseases that do not have much time requirements, it is natural to follow the steps, but for strokes that kill about 1.
9 million brain cells per minute, we must build efficient green channels that allow patients to only go where
they should be.
After more than 20 years of active exploration, Shanghai Changhai Hospital has finally achieved "patient-centered", "patients do not move, doctors and nurses move", cancel routine processes such as registration, waiting, and payment, and take "post-treatment payment", stroke patients only need to go to the medical guidance desk, CT room and operating room and other places
that must go.
Figure 5.
Green Channel Process[1]
"This model is known as the 'Changhai model' by the state, and Shanghai Changhai Hospital shortens the time between the arrival of stroke patients and the start of treatment from 2 hours to 20 minutes
.
" Professor Liu Jianmin added: "This matter is very simple to say, but it breaks the boundaries of traditional disciplines, changes the original medical concept, and changes the original medical system, which is full of
difficulties.
It
is the "Changhai mode" that allows patients to receive rapid and accurate diagnosis, examination and treatment
as soon as they arrive at the hospital.
Grasping the last opportunity is the struggle of medical care, and it is even more necessary for patients to work together
At present, there are stroke centers everywhere, which is also the result of the "Changhai model" being promoted to the whole country, as the time to arrive at the hospital to treatment is shortened almost to the limit, the space to improve the treatment effect of stroke patients is more in shortening the time for patients from onset to the hospital, and the key point to shorten this time is to improve public awareness, timely identification, rapid transportation, rapid decision-making (informed consent), for stroke patients, every point earned, Every second counts
.
It is hoped that readers will actively disseminate and let more people know about stroke
.
The core of stroke treatment is fast, time is the brain! Identify the symptoms of stroke, seize precious time, race against time to save lives, we work together!
Expert profiles
Prof.
Jianmin Liu
Chief physician, third-level professor, doctoral supervisor
.
He is currently the director of the Cerebrovascular Disease Center of the First Affiliated Hospital of Naval Medical University (Shanghai Changhai Hospital), the director of the Institute of Cerebrovascular Disease of the whole army, and the secretary-general of the Stroke Prevention and Control Engineering Expert Committee of
the National Health Commission.
He has published more than 500 papers as the first or corresponding author, and nearly 200 papers
have been included in SCI.
He is the chief editor of 4 monographs
.
He presided over the formulation of 6 national
cerebrovascular disease interventional treatment standards and expert consensus.
He has been invited to give lectures, surgical demonstrations and dozens of special lectures at
internationally renowned medical schools and international conferences.
The first person in charge won 4 first prizes at
the provincial and ministerial levels such as the Ministry of Education, the military, and Shanghai Municipality.
He has presided over 27 projects such as the National Key R&D Program, the National Science and Technology Support Program, the National Natural Science Foundation of China, and the National Key Clinical Specialty Construction Project
.
LED THE COMPLETION OF THE DIRECT-MT TRIAL, THE RESEARCH RESULTS WERE PUBLISHED IN NEJM, AND IS LEADING A NUMBER OF RANDOMIZED CONTROLLED CLINICAL TRIALS
SUCH AS ENCHANTED-MT, LATE-MT AND MAGIC-MT.
Image source:
[1] Publicity materials of the Office of the Stroke Prevention and Control Engineering Committee of the National Health Commission
More about stroke?
Come to the "Doctor Station" and take a look 👇
