Differential Diagnosis
What test cerebral thrombosis patients should do?
In order to know the functional condition of body system and organs,we should make the following examinations,this also can help us make analysis of the pathogeny,make judgement of the disease,make out treatment plans,and estimate prognosis,etc.
1)Three routine examinations
①Blood test
At early stage of cerebral thrombosis,there is no special changes.This disease is different from cerebral hemorrhage,the number of white blood cell will not rise.When co-infection occurs,such as the infecton of respiratory system and urinary system,the number of white blood cell will increase.
②Urine test
Blood thrombosis will not affect urine.When patient have benign arteriolar nephrosclerosis,the urine will be abnormal.If the male patient have chronic prostatitis,pyocyte and protein may exist in urine.The test of sugar in urine may find the diabetes patients without obvious symptoms.
③Stool test
Cerebral thrombosis have no change in stool.This test for thrombosis patients is to find parasite and other intestinal diseases.We can idendify whether the gastrointestinal tract bleed from feces occult blood.
(2)Blood bio-chemistry checking
①blood sugar and glucose tolerance checking
We can find the diabetes patients and patients with low glucose tolerence.Diabetes is closely related with atherosclerosis,and it is a risky factor of cerebrovascular disease.Research found,at acute stage of cerebrovascular stage,glucose tolerance of most patients will be low regardless of hemorrhagic or ischemic disease.Ischemic cerebrovascular disease will have the symptom of low glucose tolerance in transient ischemic stage,acute stage or recovery stage,and will continue to exist.For the cerebrovascular patients with low glucose tolerance,blood coagulation factor VIII fos-related antigen, fibrinogen,and triglyceride is obviously higher than normal.Blood is at hypercoagulative state,and this is one of causes of cerebrovascular diseases.
②Blood lipid test:blood lipid metabolid abnormalities has a direct relationship with atherosclerosis.The lipid deposits in subendothelial layer of atherosclerosis,and they are mainly cholesterin.These numbers can be reference of suffering from atherosclerosis:cholesterin>5.98mmol/l,
triglyceride>1.43mmol/l,and beta-lipoprotein>5g/l.If triglyceride rises,HDL will decline.The decline of HDL will easily cause atherosclerosis,then ischemic cerebrovascular disease will be induced.
③Liver and kidney function test:this disease will not affect liver function.Check it and find whether there is zang-fu disease.Renal function will be normal,and if these diseases exist,renal function will be abnormal,such as renal arteriolar sclerosis,diabetes complicated by renal damage,chronic renal membrane inflemmation.
④serum potassium, sodium and chloride, carbon dioxide in the examination
find the disorder of electrolytes and acid-base imbalance as early as possible.
(3)Cerebrospinal fluid examination
If you make this test immediately after the attack of disease,the pressure of cerebrospinal fluid is not high,and it is very clear and transparent in appearance.The number of cells and proteins is normal.
(4)others:special needs of test should be determined by doctor
Arcticle Source : http://bodycountry.com/stroke/2010/what-test-cerebral-thrombosis-patients-should-do.html
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Tags: cerebral hemorrhage, cerebral thrombosis, routine test