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中風黃金時間處理

就中風文章的回應 (歡迎多些專業意見)

1. Never delay expert medical care by WM Chan*
2. Consult private expert doctors instead by MY Lau
3. 中風急病治療重要是盡快醫 黃震遐*

*黃震遐 WM Chan 都是醫護人員

 

(此文章在朋友間輾轉相傳,請參看醫護朋友的回應)
中風黃金時間處理
.
..要學~~超重要..

患了中風,腦部的微血管,會慢慢的破裂,遇到這種情形,千萬別慌,患者無論在什麼地方(不管是浴室、臥房或客廳),千萬不可搬動他。
因為,如果移動,會加速微血管的破裂 。
所以要先原地把患者扶起坐穩以防止再摔倒,這時才開始(放血)。

家中如有專為注射用的針,當然最好,如果沒有,就拿縫衣用的銅針,或是大頭針,用火燒一下消毒,就在患者的十個手指頭尖兒(沒有固定穴道,大約距離手指甲一分之處)刺上去,要刺出血來 (萬一血不出來,可用手擠),等十個手指頭都流出血來(每指一滴),大約幾分鐘之後,患者就會自然清醒。

如果嘴也歪了,就拉他的耳朵,把耳朵拉紅,在兩耳的耳垂兒的部位,各刺兩針,也各流兩滴血,幾分鐘以後,嘴就恢復原狀了。

等患者一切恢復正常感覺沒有異狀時再送醫,就一定可以轉危為安,否則,若是急著抬上救護車送醫,經一路的顛跛震動恐怕還沒到醫院,他腦部微血管,差不多已經都破裂了。萬一能夠吉人天相,保全老命,能像孫院長,容得勉強行動,那得要靠祖上的庇蔭了。

放血救命法,是住在新竹的中醫師夏伯挺先生說的。

且是經自己(本文作者)親身實驗,敢說百分之百有效。

以下是本文作者自述急救經驗:

大概是民國六十八年我在台中逢甲學院任教,
有天上午,我正在上課,一位老師跑到我的教室上氣不接下氣的說:
劉老師快來,主任中風了;

我立刻跑到三樓,看到陳幅添主任,氣色不正,語意模糊,嘴也歪了,很明顯的是中風了。立即請工讀生到校門外的西藥房,買來一支注射用的針頭,就在陳主任十個手指頭上直刺。等十個手指尖兒都見血了(豆粒似的一滴),大約幾分鐘以後,陳主任的氣色就變過來了,兩眼也有神了,只有嘴還歪著,我就拉搓他的耳朵,使之充血,等把耳朵拉紅,就在左右耳垂之處,各刺兩針,待兩耳垂都流出兩滴血來,奇蹟就出現了,大約不到三五分鐘,他的嘴形,恢復正常了,說話也清清楚楚了。

讓他靜坐一陣子,喝了一杯熱茶,才扶他下樓,開車送到惠華醫院,打一罐點滴,休息了一夜,第二天就出院回學校上課了。一切照常工作,毫無後遺症。

反觀一般腦中風患者,都是送醫院治療時,經過一路震盪血管急速破裂,以致多數患者一病不起,所以腦中風,在死因排行榜上高居第二位,其最幸運者,也僅能保住老命,而落得終身殘廢。

這是一個多麼可怕的病症。如果大家都能記住這(放血救命)的方法,立刻施救,在短短時間它能起死回生,而且保證百分之百的正常。

這個急救法,希望大家告訴大家。
那腦中風,在死因排行榜上,就可以除名了。

 

 

 


回應文章 - 有關中風管理

 

 

1. Never delay expert medical care by WM Chan

Pl see the following comments from a consultant in Accident & Emergency care. My advice is that, with the excellent ambulance service and good network of public hospitals in HK, never delay expert medical care. Always call the ambulance when in doubt, and that includes minor strokes or what we call TIA(transient ischaemic attacks : any inability of movement of limb, even if transient, should be regarded as possible sign or prodromal of stroke)

WM

Thank you.


I have seen this message before. I believe it comes from someone who have great faith in traditional Chinese medicine but lacking the knowlegde of pathophysiology of cerebrovascular accident,
There are several obvious mistakes in this 'theory'

1. The 'theory assumed that all stroke are due to haemorrhage, but in fact , 85% of stroke are ischemic stroke, only 15% are haemorrhagic stroke.
2. In Ischaemic stroke, it is established that quick access to CT brain to exclude haemorrhage so that thrombolytic therapy can be given within 3 hours can minimze the degree of brain damage, and improve survival and preserve neurological function, thus even if the 'theroy' was correct for haemorrhagic stroke, the delay in sending the patients to hospital will cause further harm to at least 85% of stroke patients.
3. It has never been established that passive movement of a person will cause increase in blood pressure, furthermore, our brain has the amazing auto-regulation which will maintain a steady pressure inside the brain even during our vigarous physical exercise state. It is highly imaginative to think that passsive movement of transporting the patient by ambulance will overwhelm such auto-regulation.
4. Inflicting pain by puncturing the finger tips will definately casue more adrenalin secretion then moving the patient, and the adrenalin so secreted will more likely cause incrtease BP and bleeding than moving the patient. The rate of bleeding depends on BP which of course also depends on blood volume. The effect of releasing blood (cause decrease in blood volume) through finger tip will be extremely insignificant.
5. The so call successful experience deserve no discussion at all because many stroke aptient will have spontaneous partial or full recovery by themselves, we call it minor stroke.

 

回應文章 - 有關中風管理

 

2. Consult private expert doctors instead by MY Lau

Dear All,
This is my advice on stroke management:
Consult private expert doctors instead of going to public hospitals--in order not to delay medical care. My mother was rushed to a public hospital after she suffered from stroke, and was given a scan only on the following day after she was transferred to another hospital--a delay of one and a half day.

She suffered 4 years in bed after that--later I learn from some friends with similar experience to learn that it is not advisable to consult public hospitals. Delay often cause the patient great suffering, suffering which could be cured IF THEY ARE GIVEN PROPER CARE IN TIME.

I hope I am not offending public hospital workers, this is my horrible and sad experience and my mother's case is in no way an exception.

Regards,
Mun Yee


中風急病治療重要是盡快醫

 

剛外遊回來。如何應付中風,那位急症科醫生已詳細指出原文的謬誤,毋須贅言。中風急病治療重要是盡快醫及找專科(腦神經內科)。預防則更為重要,可惜很多人都不重視自己的日常照料。至於私家或公立則無一定,公立服務的確差參差不齊。但今年起多家公立都應設立了加快中風診斷服務。

黃震遐


 

 

 

 

 

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