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Smoking is a high risk factor for cerebral infarction

There is a kind of disease, can in a few minutes, let a person can’t walk, can’t say a word, even defecate can’t control, lose the dignity of life… This kind of disease is “apoplexy”, medical treatment calls “cerebral apoplexy”, it is the cerebrovascular disease that is common in old people.

Zhang, 72, is a “well-known figure” in a community park. He was physically strong, and always liked to talk with people with a cigarette under his arm. He was proud to say that although he was old, he was still as strong as a young man and didn’t need any medicine.

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This day, he got up early to eat breakfast, suddenly the right upper limb is weak, lift a hand, a spoonful of white porridge how all pass to the mouth. The family immediately took the uncle to the general internal medicine department of the nearby zhejiang greentown cardiovascular hospital. Director wu lecheng arranged the big ye to do a head magnetic resonance imaging, examination suggested that this is a new cerebral infarction, brain tissue ischemia, hypoxia, also known as the “stroke.” This next “cowhide” blow, sitting in the ward of uncle zhang a look of melancholy, and his own arm, trying to prove that he did not have a stroke.

The family are puzzled: “our old man usually body yao very good, what medicine need not eat, how suddenly stroke?” Director wu lecheng carefully asked the history of hypertension? Diabetes? Atrial fibrillation? Atherosclerosis? … A string of past history to ask down, zhang ye is not even close, before he said he looked like a strong guy.

But, have the result have the reason, wu director sees zhang ye tooth send yellow, the head of a bed still is put aside small half pack cigarette, ask a way: “zhang ye, do you love to smoke?” Big ye guilty ground answer: “old smoke gun, I dozen 20 years old smoke, now more and more fierce, a day at least 2 packets……” Old man’s wife heard this, angrily picked up the cigarette into the trash can, scold: “early tell you to quit smoking, you just don’t listen.

According to related studies, smokers are 2 to 3.5 times more likely to have a stroke than nonsmokers. When smoking and high blood pressure are present, the risk of stroke increases nearly 20-fold. And a growing number of studies support smoking as a high risk factor for cerebral infarction. Secondly, carbon monoxide produced during smoking remains in the lungs for a long time, affecting the oxygen delivery function of hemoglobin, leading to hypoxia or hypoxia in various tissues of the human body, increasing the viscosity of red blood cells, increasing the aggregation of platelets, and finally leading to the increase of the whole blood viscosity.

Director wu lecheng introduced, there is a concept called “smoking index” in medicine, used to assess a smoker’s smoking degree and harm: smoking index = daily number of smoking × smoking years. That is, if you have smoked 20 cigarettes a day on average for 20 years, the smoking index is 400. People with a smoking index of more than 400 are considered “at high risk” for lung cancer, even if they are lucky enough to survive lung cancer, emphysema, copd, stroke and high blood pressure.

Fortunately, through in-hospital medication and active rehabilitation exercises, zhang has been able to successfully pick up the chopsticks, pick up their favorite dishes. In wu lecheng director of persuasion and his wife’s “coercion and inducement” under the solemn promise, and accompanied by 52 years of cigarettes completely break up.

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