青少年脑梗死临床特征及病因学特点分析

Analysis of clinical characteristics of adolescent and youth infarction

目的研究青少年脑梗死的临床特征及病因学特点。方法采用回顾性分析的方法,对青少年脑梗死的病因、临床表现、病灶等特点予以分析。结果动态发病47·8%,平均血流速度增快(Vm)达39·4%,动脉粥样硬化及高血压者45·1%,血管炎15·5%,单发性病灶71·8%,大面积病灶18·3%,发生在大脑中动脉者54·9%,存活率91·5%。结论青少年脑梗死病人多动态发病,单发性病灶多见,常见的病因是动脉粥样硬化及高血压,其次为血管炎,预后好。

Objective To explore the clinical and etiology characteristics of cerebral infarction in juvenile. Methods The characteristics of etiology, clinical manifestation, focus cerebral infarction in juvenile patients were retrospectively analyzed. Restilts Dynamic occurrence of cerebral infarction was accounted for 47.8 %, atherosclerosis and hypertention accounted for 45.1% , while vasculitisl5.5%, single focus 71.8%, huge infarction 18.3%, 54% of the infarction occurred in middle cerebral artery, the survival rate was 91.5 %. Conclusion Dynamic occurrence of cerebral infarction and single focus are common in juvenile patients. The atherosclerosis, hypertention and vasculits are the common etiology but the prognosis is good.