A 34-year-old man in Ningbo suddenly had a headache and was in a coma after being sent to the hospital. The disease is normal or asymptomatic and can be fatal if it breaks out.
Emergency doctors quickly intubated the trachea, control blood pressure and other rescue treatment. Is intracranial aneurysm not a benign tumor or a malignant tumor? It refers to the localized abnormal bulge caused by the weak wall of the cerebral artery. "the aneurysm can be asymptomatic. Therefore, aneurysm is a more dangerous intracranial disease. Hypertension and smoking may lead to the low sense of existence of most unruptured intracranial aneurysms, among the many risk factors related to intracranial aneurysms. At present, it is believed that the risk factors related to the patient's past history and life history include hypertension, smoking, previous history of subarachnoid hemorrhage, familial aneurysm and polycystic kidney disease. If the patient has the above high risk factors or suddenly appears headache, dizziness and diplopia of unknown causes, it can be seen from DSA that his cerebrovascular tortuosity is very severe, and Mr. Zhang's cerebral vessels should have undergone a long-term impact. They never knew that Mr. Zhang had high blood pressure.
Source: Ningbo Evening News
The blood vessels of a 34-year-old man have aged to 80 years old. Mr. Zhang, who is currently receiving treatment in ICU.How can not expect, because they usually do not pay attention, resulting in vascular aging like this, and cerebral vascular rupture twice, almost killed.
On May 10, Mr. Zhang, who lives in Xiapu Street, Beilun District, suddenly felt a headache. He thought he was tired or didn't have a good rest and didn't care, so he ate cephalosporin at home. Unexpectedly, after 10:00 on the evening of the 12th, the headache suddenly aggravated, so he was rushed to the people's Hospital of Beilun District (Beilun Branch of the first Hospital of Zhejiang University). Not long after I arrived in the emergency room.Mr. Zhang suddenly fell into a coma and had unstable breathing, so the emergency doctor quickly intubated him, controlled his blood pressure and other rescue treatments.
CT examination showed "subarachnoid hemorrhage" in the man. After CTA examination, the doctor found that the man had "bilateral vertebral artery aneurysms" and immediately rescued the man.
Headache and minor ailments
How to cause serious illness and danger to death?
"my husband is usually in good health, young and strong. Why is a simple headache suddenly so serious?"The patient's wife felt incredible.
Xu Weihua, an attending physician in the Department of Neurosurgery of Beilun District people's Hospital (Beilun Branch of Zhejiang University), said that an intracranial aneurysm is not a benign or malignant tumor, but refers to a localized abnormal bulge caused by the weakness of the arterial wall of the cerebral artery. to put it simply, it is a tumor-like bulge formed by the outward bulge of the arterial wall.
Figuratively speaking, it is like the partial bulging of an old bicycle tire after being inflated. When there is no rupture, the aneurysmIt can be without any symptoms.So usually people may not pay attention to it.But once ruptured, there will be sudden severe headaches, such as "explosive" headaches, severe loss of consciousness, or even sudden death.So aneurysm is a more dangerous disease in the brain.
High blood pressure, smoking, etc.
May cause intracranial aneurysms.
The presence of most unruptured intracranial aneurysms is very low.Many patients don't even feel anything abnormal.But in fact, the aneurysm is like a balloon in the head.It will grow bigger and bigger until it breaks.
Among the many risk factors related to intracranial aneurysms, it is believed that the risk factors related to the past history and life history of patients include the following:Hypertension, smoking, previous history of subarachnoid hemorrhage, history of familial aneurysms, polycystic kidney patients.
Dr. Xu Weihua suggests that if the patient has the above high risk factors or suddenly appears.Unexplained headache, dizziness, diplopia, which cannot be relieved in a short period of timeIt is necessary to go to the hospital for relevant examination in time.
"the above-mentioned Mr. Zhang can see from the DSA that his cerebral vessels are very tortuous." Dr. Xu Weihua pointed out that from the performance of Mr. Zhang's blood vessels,Before that, he should have had high blood pressure, and the cerebral vessels would not be reversed until the brain vessels were protected by themselves.Judging from the degree of torsion of blood vessels, Mr. Zhang's cerebral vessels should have gone through a long-term impact, leading to hardening and tortuosity.
But Mr. Zhang's wife saidThey never knew that Mr. Zhang had high blood pressure and had never had an examination.
How to prevent cerebral aneurysms?
In daily life, how to prevent cerebral aneurysms? Dr Xu made three suggestions:
Active prevention and treatment of hypertension, diabetes and other basic diseases.
The causes of intracranial aneurysms can be divided into congenital causes and acquired causes. A variety of acquired factors, such as hypertension, diabetes, smoking and other factors will cause atherosclerosis, cause further damage to the arterial wall and further reduce its defense ability. If the blood flow disrupting factor increases over a long period of time, the risk of aneurysm will increase significantly.
Therefore, it is necessary to actively prevent and cure basic diseases such as hypertension and diabetes, and through changes in living habits such as quitting smoking, help to prevent and slow down the occurrence of atherosclerosis, which is also of positive significance to prevent the occurrence of aneurysms. At the same time, reducing the occurrence of intravascular infection and head trauma can also prevent aneurysms.
Maintain good living habits.
In daily life, drink and smoke as little as possible, and don't stay up late. The second is to increase exercise instead of sitting for a long time. In addition, we should also do regular physical check-ups to understand the state of health.
Dr. Xu Weihua further explained that smoking and drinking less is mainly because the ingredients in tobacco and alcohol can cause cerebrovascular diseases. The main purpose of increasing exercise is to promote the body's blood circulation, reduce the occurrence of vascular diseases, and prevent the occurrence of aneurysms.
In addition, it is clinically found that the probability of intracranial aneurysms in the "three high" people is higher than that in normal people. Therefore, such people should have regular physical check-ups.
Early detection, early prevention.
Prevention and treatment of intracranial aneurysms focus on prevention. At present, there are mainly three kinds of auxiliary examinations of intracranial aneurysms: magnetic resonance angiography (MRA), CT angiography (CTA) and whole brain angiography (DSA). For screening and physical examination, MRA is the first choice, which does not need to be injected with contrast medium and can be examined in the clinic.
Source Yong sent reporter Chen Min, correspondent Xu Xiaodan