Resident: Yes. But there were no lesions in the emergency department at the first time.There were no bleeding lesions after thrombolytic therapy 24 hours later,lesions appeared in the middle cerebral artery. Here are three head CT scanfilms, please check them.Professor: The third CT film shows low density lesions in the basal ganglia, ambiguousboundary, no high-density shadow, so we can diagnose as: ischemic cerebro-vascular disease-cerebral infarction. The patient is in stable condition andthe current treatment is suitable. Continue to give anti-platelet aggregation,microcirculation, nerve nutrition and support symptomatic treatment. Observeany changes closely. What factors commonly induce cerebral infarction？ Resident: Hypertension, diabetes mellitus, coronary artery disease, dyslipidemia, etc.Professor: Did you find the cause of this case？Resident: The patient has a history of hypertension so I suppose his infarction is relatedto high blood pressure and arteriosclerosis.Professor: How about the blood pressure？ Did you recheck the blood lipid profile？Resident: Blood pressure was 170/90mmHg; low-density lipoprotein and triglyeride were high.Professor: Do not give antihypertensive drugs. The domestic standard of using anti-hypertensive is that the systolic blood pressure should be higher than 180mmHgand then give anti-hypertensive slowly.Resident: His blood glucose is 9.5mmol/L when his stomach is empty. Was it a stressresponse to cerebral infarction？
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