中青年脑梗死120例临床分析

Clinical analysis on 120 cases of young and middle aged cerebral infarction

目的探讨中青年脑梗死的病因及临床特点。方法回顾性分析120例中青年脑梗死患者的临床及影像学资料。结果120例中青年脑梗死病因多样化,动脉粥样硬化最常见,主要相关危险因素为高血压病、吸烟、糖尿病、高血脂症、酗酒。病变血管以颈内动脉系统为主。结论积极控制高血压病、糖尿病及高血脂症,有效戒烟限酒,防止动脉硬化发生,是降低中青年脑梗死的重要措施。

Objective To investigate the etiological factors and clinical features of young and middle aged cerebral infarction. Methods Retrospectively analysis the clinical and imaging datas of 120 cases of young and middle aged cerebral infarction. Results The etiological factors were diversificate , and atherosclerosis was the mostly critical one. Relative risk factors were including hypertension , smoking , diabetes , hyperlipemia , coronary heart disease and alcohol abuse. Pathological changes in blood vessel take internal carotid artery system as the dominant factor. Conclusion It was an important measure to prevent young and middle aged cerebral infarction accruing that positively control hypertension, diabetes, and hyperlipemia, effectively limit alcohol , give up smoking and prevent arthrosclerosis happening.