[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"article-detail":3},{"lang":4,"article":5,"alternate":20,"related":21,"latest":30},"en",{"id":6,"slug":7,"title":8,"content":9,"summary":10,"thumbnail":11,"metaDescription":12,"metaKeywords":13,"created":14,"modified":15,"author":16,"authorEn":16,"categoryId":17,"commentCount":18,"thumbnailToContent":19},12709,"stroke-vs-brain-hemorrhage-first-aid-vtkm","Stroke & Brain Hemorrhage: First Step Saves Life","\u003Cp style=\"margin:0 0 18px;\">A well-known TV host just died of sudden cerebral hemorrhage — and \"stroke\" suddenly feels closer than ever. Many people still call it an old person's disease. The reality: midlife cases are climbing.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Brain infarction and brain hemorrhage are brothers with opposite first-aid. The first step, done right, buys the brain its only chance.\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>Four names, one family\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Ask doctors and patients keep asking the same thing: \"Stroke, cerebrovascular disease, cerebral infarction, cerebral hemorrhage — are these four different diseases?\"\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">They aren't. \"Stroke\" is the family name. Inside the family live two very different brothers.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Cerebral infarction (ischemic stroke):\u003C\u002Fstrong> a thrombus or plaque blocks the vessel. The brain tissue downstream loses blood and oxygen — \"cut off from water and food\" — and begins to die fast. It is the most common type, about 70% of strokes.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Cerebral hemorrhage (hemorrhagic stroke):\u003C\u002Fstrong> a vessel bursts. Blood floods into brain tissue, forms a hematoma, and directly crushes and destroys surrounding brain cells. It accounts for only 20–30% of strokes — but its acute fatality rate is 30–40%. Far more vicious than infarction.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Both end the same way: rapid brain-cell death. Both are emergencies. And their treatments run in opposite directions — one must be \"opened,\" the other \"stopped.\"\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>The two ways they arrive\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Cerebral infarction often \"appears\" quietly, during rest or sleep. The patient wakes up to find half the body won't obey, or speech suddenly blurs. Symptoms worsen gradually — peaking hours or even a day or two later.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Cerebral hemorrhage ambushes during activity or emotional excitement. Its signature signal is a sudden, explosive headache — patients describe it as \"the worst headache of my life,\" \"like being struck.\" Then comes projectile vomiting — not gradual retching, but an uncontrollable spray, and the headache does not ease after vomiting. Within minutes the condition can spiral: confusion, then coma.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261003\u002F8cdff625723f405dbe7777acf8258b32.webp\" alt=\"A plaque blocking a cerebral artery with downstream brain tissue losing blood supply\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>What stroke looks like\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Cerebral infarction: crooked mouth, one-sided weakness, slurred speech. A massive infarct can also bring headache, vomiting and coma.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Cerebral hemorrhage: sudden onset during activity, emotional excitement or straining; explosive headache, vomiting, rapid drowsiness and coma, blood pressure spiking. A small bleed, though, may only show as a numb hand and crooked mouth.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">And other conditions can masquerade as stroke: subdural hematoma, epidural hematoma, hypoglycemia, post-seizure paralysis, migraine attacks, intracranial inflammation, intracranial tumors.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Neurologist Liu Zunjing, chief physician at Peking University People's Hospital, puts it plainly: \"Whether it's a blockage or a rupture, the end result is brain cells dying fast, so both are emergencies. The public doesn't need to distinguish which type — if it looks like a stroke, treat it as an emergency.\"\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The gold standard for telling them apart is not symptoms. It is a head CT. \"On scene, the only principle: don't self-diagnose, don't self-medicate — race to the hospital.\"\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261003\u002F3767cad4b664423290a2ba656a5b81c0.webp\" alt=\"A ruptured cerebral vessel with blood pooling into brain tissue and pressing on cells\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>Remember the \"120\" check\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Whether infarction or hemorrhage, fast recognition comes first. The \"120\" mnemonic:\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>\"1\" — one face:\u003C\u002Fstrong> look at the face — asymmetry, a drooping mouth corner.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>\"2\" — two arms:\u003C\u002Fstrong> raise both arms parallel — one side sags and falls.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>\"0\" — zero speech (listen):\u003C\u002Fstrong> slurred, unclear, hard to express.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">If any one of these appears, call 120 (China's emergency number) immediately.\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>What to do — and what never to do\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>✅ Do:\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Call the emergency line right away. Give the exact address (down to building, floor, room), describe the patient's condition using the symptoms above, leave a call-back number and keep it reachable.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Lay the patient flat and safe; slightly raise the head about 30° to ease intracranial pressure.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Loosen tight clothing — collar, belt, tie, underwear — and keep the airway open. If the patient is vomiting or unconscious, turn the body to one side (recovery position) so vomit can't block the airway and cause choking.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Note the exact time symptoms started. This can decide the treatment plan — especially thrombolysis.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Prepare medical documents: ID, insurance card, history, current medications (especially antihypertensives and glucose-lowering drugs), and known allergies.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>❌ Never:\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Don't feed anything.\u003C\u002Fstrong> Stroke can impair swallowing — food can cause choking, aspiration pneumonia, even suffocation. Don't force any medication, including Angong Niuhuang Wan (a traditional pill many families keep): you can't know if it's infarction or hemorrhage, and the wrong drug can worsen the case.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Don't give any medicine blindly — aspirin, antihypertensives, glucose-lowering drugs.\u003C\u002Fstrong> Aspirin during hemorrhage worsens bleeding — potentially fatal. In the acute phase the body deliberately raises blood pressure to keep ischemic brain areas perfused; blind pressure-lowering worsens brain damage.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Don't pinch the person's philtrum (renzhong).\u003C\u002Fstrong> The most widespread folk \"first aid.\" It doesn't help — and the pain may agitate the patient, raise blood pressure, worsen bleeding, and waste precious rescue time.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Don't move or shake the patient.\u003C\u002Fstrong> Avoid unnecessary handling, especially of the head — rough movement can worsen hemorrhage or brain injury.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Don't drive yourself to the hospital.\u003C\u002Fstrong> Calling 120 is better: paramedics assess and monitor en route, and alert the hospital to open the \"green channel,\" skipping ER registration and triage. In your own car, traffic or a sudden change — and you're helpless.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cstrong>Don't stand down because symptoms eased.\u003C\u002Fstrong> If numbness or slurred speech fully resolves within minutes or hours, it may be a transient ischemic attack (TIA) — a warning signal of a severe stroke to come. Go to the hospital immediately and find the cause.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261003\u002F7830032eb18f497e95ef1fc4ed9eff4d.webp\" alt=\"Three-panel stroke check: face, arms and speech\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>At the hospital: the CT comes first\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">The first thing to do at the hospital: get the head CT done fast. CT is the quickest, most reliable way to separate infarction from hemorrhage.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Confirmed cerebral infarction can be treated with intravenous thrombolysis or arterial thrombectomy within the time window. Time is brain — the earlier the vessel is reopened, the more brain cells are saved.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Cerebral hemorrhage treatment focuses on controlling hematoma growth and lowering intracranial pressure, with surgery when needed.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">But not every hemorrhage needs craniotomy, says neurosurgeon Zhou Jingru, also chief physician: \"Small, deep hematomas can often be stabilized with blood-pressure control and dehydration. But if it's a ruptured aneurysm, vascular malformation bleeding, a hematoma steadily enlarging, or consciousness deepening — don't wait and watch. Surgery is required. Neurosurgery now does minimally invasive hematoma evacuation, aneurysm coiling or clipping, and combined embolization-resection for malformations — the principle is as minimally invasive as possible.\"\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261003\u002Fd1533be3bee74c38ba32bb5be1738bf3.webp\" alt=\"Home first aid for stroke: patient flat, collar loosened, recovery position, calling 120\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>Prevention beats rescue\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Cerebrovascular disease is not a bolt from the blue — it leaves a long window, and active management keeps most risk at the door:\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Daily habits: low-salt, light diet; more vegetables and whole grains; less trans fat; regular exercise; no smoking; limited alcohol; prevent constipation; control anger; avoid sudden bending and straining.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Chronic disease is the big one: hypertension, diabetes, dyslipidemia and atrial fibrillation must be treated and monitored properly — never stop or swap drugs on your own.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">If a stroke already happened, secondary prevention is the baseline: antiplatelet or anticoagulant therapy, statins, antihypertensives taken long-term and regularly; start rehabilitation as soon as the condition stabilizes — don't relax because \"there are no symptoms.\"\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Age over 40, family history, or repeated headaches: consider a head MRA or CTA to screen for aneurysms and vascular malformations before they announce themselves.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261003\u002F5a5c41a7fc984e48af5306ac00d5737c.webp\" alt=\"Stroke prevention: healthy diet, exercise, no smoking or alcohol, head imaging check\">\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Preventing one stroke beats ten rescues.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The brain doesn't give second chances easily — the family's first step is the stroke patient's first life.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">See the brain cells a stroke kills. A \u003Cstrong>nerve cell specimen\u003C\u002Fstrong> under the microscope shows neuron bodies, dendrites and axons — the structures that die within minutes when a vessel blocks or bursts. Search \"WWAI\" in your app store and download it today.\u003C\u002Fp>\n\u003Cdiv class=\"dp-template-card\" style=\"border-radius:8px;box-shadow:0 2px 8px rgba(0,0,0,0.1);margin:10px 0;max-width:100%;overflow:hidden;width:100%;\">\n \u003Ca style=\"display:block;text-decoration:none;\" href=\"https:\u002F\u002Fyun-hub.chat\u002Flink\u002F?app=wwai&clickid=stellarx&dplink=specimenid%3D1042\" target=\"_blank\">\u003Cimg class=\"image_resized\" style=\"display:block;height:auto;max-width:100%;width:100%;\" src=\"\u002Fattachment\u002F20260824\u002F5ba5dd3c38404fe785f43c44423830de.png\" alt=\"5ba5dd3c38404fe785f43c44423830de\">\n  \u003Cbutton style=\"align-items:center;background-color:#1f983e;border-radius:0 0 25px 25px;border-style:none;color:#ffffff;cursor:pointer;display:flex;font-family:Times New Roman;font-size:19px;height:40px;justify-content:center;padding:0;width:100%;\">EXPLORE NOW\u003C\u002Fbutton>\u003C\u002Fa>\n\u003C\u002Fdiv>\n\u003Cp style=\"color:#111;margin:28px 0 8px;\">\u003Cstrong>Related reading\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fchinese-baijiu-aldehydes-fermentation-xqzn\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20261002\u002F63d23d7674ef46629714587ff77d694b.webp\" alt=\"Why Baijiu Burns: Aldehydes, Not Alcohol\">\u003C\u002Fa>  \u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fchinese-baijiu-aldehydes-fermentation-xqzn\">\u003Cstrong>Why Baijiu Burns: Aldehydes, Not Alcohol\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fchronic-inflammation-fatigue-xwzn\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20261002\u002F413d9217e72b42e0ba3a056c0117d2b1.webp\" alt=\"Chronic Inflammation: The Body's Quiet Alarm\">\u003C\u002Fa>  \u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fchronic-inflammation-fatigue-xwzn\">\u003Cstrong>Chronic Inflammation: The Body's Quiet Alarm\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fsugar-free-mooncake-blood-sugar\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20260926\u002Fa8d067036ae849758bd8f1ff2df65b6c.png\" alt=\"Why 'Sugar-Free' Mooncakes Can Still Spike Your Blood Sugar\">\u003C\u002Fa>  \u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fsugar-free-mooncake-blood-sugar\">\u003Cstrong>Why 'Sugar-Free' Mooncakes Can Still Spike Your Blood Sugar\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>","","\u002Fattachment\u002F20261003\u002F0a698868ff0f45c99a4cad9233fde77f.webp","A TV host's sudden brain-bleed death is a warning: stroke hits midlife too. Cerebral infarction and hemorrhage need opposite first aid — one opens, one stops.","stellarx, wwai, stroke, brain hemorrhage, cerebral infarction, stroke first aid, BE FAST, transient ischemic attack, TIA, 120 mnemonic","2026-10-03 20:55:00","2026-10-03 21:20:53","Science Guide Wwai",77,0,true,null,{"prev":22,"next":26},{"id":23,"slug":24,"title":25,"categoryId":17},12711,"heart-attack-silent-signals-first-aid-rtmw","Heart Attack at 49: Fit, Sober, Still Struck",{"id":27,"slug":28,"title":29,"categoryId":17},12708,"firefly-bioluminescence-luciferase-hwkc","Firefly Glow: A Cold Light Humans Learned to Copy",[31,36,41,43],{"id":32,"slug":33,"title":34,"thumbnail":35,"categoryId":17},12713,"feeding-wildlife-walrus-pzqv","Feeding Wildlife Can Get It Killed","\u002Fattachment\u002F20261003\u002F42d15bc762fd46739f5f038786cea060.webp",{"id":37,"slug":38,"title":39,"thumbnail":40,"categoryId":17},12712,"chicken-gizzard-ball-mill-evolution-hzkq","The Chicken's Gizzard: A Dinosaur's Stone Crusher","\u002Fattachment\u002F20261003\u002F0d762a58997046879dd3cdf127bc5db7.webp",{"id":23,"slug":24,"title":25,"thumbnail":42,"categoryId":17},"\u002Fattachment\u002F20261003\u002F2a10cf9c932240e7a77f3f38e2052a51.webp",{"id":6,"slug":7,"title":8,"thumbnail":11,"categoryId":17}]