这几天真的太冷了！过完元旦小长假，很多人这么说。去年12月30日，杭城最高温度仅为1℃。昨天最高温度都在0℃以下，中午12时，杭州市区气温只有-2.4℃。

This several days really too cold!After the New Year's day holiday,A lot of people say so.Last year December 30,The highest temperature of hangzhou is only 1 ℃.Yesterday, the highest temperature are below 0 ℃,At 12 noon,Hangzhou city temperature is 2.4 ℃.

　　这么冷的天气，各大医院神经内科的医生可就忙坏了。

This cold weather,Each big hospital neurology doctors would be busy bad now.

　　“1月1日我值班时，医院急诊室留观的病人，1/3是突发脑血管意外。”浙大一院神经内科梁辉副主任医师说。

"On January 1, when I was on duty,Staying in the hospital emergency room,A third had a cerebrovascular accident."Zhejiang university a hospital neurology liou j w, deputy director of the physician said.

　　浙大二院神经内科罗巍副主任医师1月2日和3日值班。“医院神经内科的病人，70%以上是刚收进来脑血管意外的病人。”两位神经内科专家都认为“天冷”是脑血管疾病高发的罪魁祸首。天冷，人体交感神经兴奋，血管收缩，引起血管痉挛；另外，人体的血液量不变，血管变窄，血液通过所需的力气加大，血压就高了。如果脑子里面的血管比较狭窄或者有个血管瘤，可能出现两种脑血管意外：血流不过去，脑子局部缺血引起脑梗塞；血冲破血管，引发脑出血，也即脑溢血。这两种脑血管意外都属于脑卒中，就是我们常说的脑中风，其中80%的脑卒中属于缺血性脑卒中。脑中风发病时的死亡率高达20%-30%。

Zhejiang university second hospital neurology LuoWei, deputy director of the physician on January 2, and 3, on duty."Hospital neurology patients,More than 70% just in cerebrovascular accident patients."Two nerve medicine experts agree that"It was cold"Is a chief contributor to the high incidence of cerebrovascular disease.It was cold,The human body sympathetic excitement,vasoconstriction,Cause vasospasm;In addition,The body's blood quantity remains the same,Blood vessels to narrow,Blood through the required strength,Blood pressure is high.If the inside of the brain blood vessels narrow or have a hemangioma,Two kinds of cerebrovascular accident may occur:Blood flow is not in the past,Brain ischemia caused by cerebral infarction;Broken blood vessels,Caused by cerebral hemorrhage,That is cerebral hemorrhage.These two kinds of cerebrovascular accident belong to stroke,The stroke is we often say,80% of the stroke belongs to ischemic stroke.Stroke incidence of mortality rate as high as 20% - 30%.

　　接下去，杭州还得冷一段时间，大家在家里、出门在外，一定要做好保暖工作。

The next,Hangzhou is too cold for a period of time,You at home/Go out in the outside,Must do a good job to keep warm.

　　1.及时调整药量。平时有心脑血管疾病、血脂代谢异常的病人，要特别小心。这些病人包括心脏病、高血压、糖尿病、高脂血症等。按时吃药是起码的，如果觉得身体不舒服，及时请医生看看是否需要调整药量。

1. Adjust dosage.Heart cerebrovascular disease at ordinary times/Lipid metabolic abnormalities in patients,Be especially careful.These patients, including heart disease/High blood pressure/diabetes/Hyperlipidemia, etc.Take medicine on time is at least,If feel the body is uncomfortable,In time the doctor see if need to adjust the dosage.

　　2.尽量不要外出。天冷，老年人尽量不要外出，不要去室外晨练，室内打打太极拳是很好的运动。

2. As far as possible don't go out.It was cold,The old don't go out as far as possible,Don't go to outdoor exercise,Indoor taijiquan is a good exercise.

　　3.要开空调或油汀。“有一点，儿女一定要为老人做。提醒老人，这段时间要开空调或油汀，不要受冻硬撑。不要为了省一点电费穿很多衣服，有时候衣服穿多了，行动不便，血液循环变慢，血黏度增加，也会增加脑缺血的风险。”梁医师说。

3. To open air conditioning or oil."A little bit,Children must be done for old people.Remind the old man,This period of time to open air conditioning or oil,Don't have go.Don't to save a little electricity wear many clothes,Sometimes much more clothes,Action inconvenience,Slow down the blood circulation,Blood viscosity increases,Will also increase the risk of cerebral ischemia."Beam doctors said.

　　4.出门戴上帽子。如果要外出，尽量不要吹风，特别是老年人，出门记得戴上帽子，俗话说一顶帽子比三件衣呢，保护好脑部血管的温暖是性命攸关的事。

4. Out of a hat.If you want to go out,Try not to blow,Especially in the elderly,Go out remember to wear a hat,As the saying goes a hat than three pieces of clothing,Protect the brain blood vessels of warmth is the vital thing.

　　5.不要吃太多油腻、上火的东西。冬天，中国人习惯进补，所以特别要注意不要吃太多油腻、上火的东西，这会让血脂和血压增高，增加脑血管意外风险。

5. Don't eat too much fat/Lose something.In the winter,Chinese food,Therefore special attention should be paid to don't eat too much fat/Lose something,It makes the blood fat and blood pressure,Increase the risk of cerebrovascular accident.

　　6.不要睡得太晚。接下去过年走亲访友，尽量保持自己作息规律，不要睡得太晚，休息不好，人体疲惫也容易出事。

6. Don't sleep too late.Chinese New Year next visit family and friends,Try to keep my regular life,Don't sleep too late,Rest is not good,Human body tired is easy to have an accident.

　　7.及早就医。如果真的发生脑血管意外，尽快来医院。脑血管意外的治疗是要抢时间的，越早治越好。如果有突发不明原因的严重头痛、头晕、神志不清、言语不清、口角歪斜、吞咽困难、一侧肢体的麻木无力、行走困难、平衡障碍、视物模糊等情况，就要怀疑是不是得了脑中风，马上就诊。

7. Go to a doctor as early as possible.If it really happened cerebrovascular accident,As soon as possible to the hospital.The treatment of cerebrovascular accident is to fight against time,The treated early, the better.If there is a sudden unexplained serious headache/dizzy/Mind is not clear/Words are not clear/Quarrel askew/dysphagia/The side of the limb numbness of the weak/Walking difficult/Balance disorders/Depending on the fuzzy, and so on and so forth,To doubt whether got stroke,To see a doctor at once.

　　预防脑中风的7点建议 Prevention of stroke at seven o 'clock

　　“不要以为脑血管意外是老年人的事情，1月1日那天，我们就收到一位33岁的脑缺血病人。”浙大一院梁辉医师说。

"Don't think that cerebrovascular accident is the old things,On January 1,,We have received a 33 patients with cerebral ischemia."Zhejiang university one liou j w doctors said.

　　这位病人是晚上十点多被120送到浙大一院。躺在担架上，手脚全都没有知觉，舌头歪在一边。梁医师把病人的老婆叫到一边问病人发病前在做什么？

The patient is more than ten o 'clock in the evening by 120 to zhejiang university a court.Lying on the stretcher,Hands and feet are no consciousness,Tongue crooked on one side.Beam doctor to the patient's wife called aside asked before the patient doing?

　　“我们也没有做什么……放假第一天，我们俩想想外面人太多，又冷，就待在家里。老公披了件大衣，玩电脑游戏，男人家玩起游戏来哪里听得到我们的话。我叫他开空调，他不理我。我就管自己继续睡。

"We do not what to do...The first day of the holiday,We both think about outside people too much,And cold,Just stay at home.The husband put the coat,Playing computer games,Where man playing games to hear us.I told him to open air conditioning,He ignored me.I can go back to sleep.

　　“我一直睡到12点，迷迷糊糊知道他是从早上9点多开始玩游戏的。中午，我起来做中饭。老公说，他的手指冻僵了。我叫他开空调，他还是不肯，反倒来抢我的热水袋。我说不动他，下午我就窝在床上看甄嬛传。晚饭，也在家里解决。吃完饭，他继续玩游戏，直到晚上八点多，老公叫我，说‘不对了，鼠标也拿不牢……’我慌了，掐他的手，不痛，连忙来医院。”

"I sleep until 12 o 'clock,Daze know that he is more than 9 o 'clock in the morning began to play the game.At noon,I do lunch.Her husband said,His fingers were frozen.I told him to open air conditioning,He is not,But to grab my re shuidai.I can't move him,In the afternoon I will nest on the bed to watch of enrollment 嬛.dinner,Also at home.Have a meal,He continued to play the game,Until the evening at 8 o 'clock,My husband called me,said‘wrong,The mouse it fast...’I panic,Took him by the hand,pain,Immediately to the hospital."

　　梁医师为病人做颅脑CT，发现大脑有缺血情况，发病起码在十个小时以上了，就是说病人中午手指冻僵知觉减退，就可能是脑缺血发作。

Beam physicians for patients with craniocerebral CT,Found a brain ischemia,Come on at least in the more than ten hours,That patient fingers frozen at noon consciousness,May be ischemic attack.

　　脑缺血的症状不容易察觉，发病初期，病人只是觉得手脚没力气，脑子不好使，但大多不放在心上。很多病人等到话说不出来、手脚动不了、头晕摔倒才来医院。

Not easy to detect the symptoms of brain ischemia,Of the early,The patient just feel no strength,The brain not make,But most will not lay it to heart.Many patients when words don't come out/Arms and legs can't move/Giddy fall down to the hospital.

　　梁医师说，脑缺血的病人应该尽快治疗，如果脑缺血发作四五个小时之内，可以使用静脉溶栓，打通堵塞的血管；如果超过四五个小时，但在八个小时之内，可用动脉溶栓。静脉溶栓是医生通过静脉注射一种药物，快速溶解血管里的血栓。相比静脉溶栓，动脉溶栓相当于一个微创手术，需要在血管造影下完成。

Beam doctors said,Cerebral ischemia of patients should be treated as soon as possible,If ischemic attack four or five hours,Can use intravenous thrombolysis,Through blockage of blood vessels;If more than four or five hours,But in eight hours,Available artery thrombolysis.Intravenous thrombolysis is one doctor intravenous drugs,Fast dissolve the blood clots in the blood vessels.Compared with intravenous thrombolysis,Arterial thrombolysis is equivalent to a minimally invasive surgery,Need to be finished under the angiography.

　　“但是像这位33岁病人的情况，就不好说了，发病到救治已经过了10个小时，已经做了溶栓、服用药物，能不能康复就要看病人本身的体质了。如果病情比较严重，病人可能瘫痪。他今年才33岁啊。”梁医师也觉得很惋惜。

"But like the 33-year-old the patient's condition,Bad to say it,Onset to treatment has been 10 hours,Have done thrombolysis/Take medicine,Can recover to a doctor who the constitution itself.If the disease is serious,The patient may be paralyzed.He was just 33 years old this year."Beam physicians also feel very sorry.

　　明后两天天气依然寒冷，还有雨雪助威。

Within two days the weather is still cold,There is rain and snow cheer.

　　怎么才能预防脑血管意外？对缺血性脑卒中，《欧美缺血性脑卒中一级预防指南解读》有建议：定期测量血压、定期测量血糖和血胆固醇。除此之外，梁辉医师和罗巍医师有好几条建议，大家要留心记一记，为自己也为家中的父母。(都快市报 记者 王真 通讯员 方序 陈旭东)

How to prevent cerebrovascular accident?Of ischemic stroke,[Europe and ischemic stroke in primary prevention guide]Have Suggestions:Regularly measure blood pressure/Regularly measure blood sugar and blood cholesterol.In addition to,Liou j w doctors and LuoWei doctors there were quite a few Suggestions,We should pay attention to remember a record,For yourself and for the parents in the home.(All quick ShiBao reporter WangZhen correspondent party sequence ChenXuDong)