青年脑梗死128例临床分析

Clinical analysis of 128 cases of cerebral infarction in young patients

目的探讨青年脑梗死的病因、危险因素、临床特点及预后。方法回顾性分析128例青年脑梗死患者的临床资料。结果115例有明确病因（89．84％），13例病因不详（10．12％）。主要危险因素有：高血压病、吸烟、家族史、短暂性脑缺血发作及高血脂症。临床特点为：多见于男性，意识障碍少，预后较好。结论苷卑脑梗死的病因以动脉粥样硬化最多见，其次为炎症性血管病和心源性栓基，主要危险因素是高血压病、吸烟、家族史、短暂性脑缺血发作及高血脂症。一般预后较好，治愈率高，病死率低。

Objective To investigate the cause, dangerous factors,clinical features and prognosis of cerebral infarction in young patients. Methods To review the clinical data of 128 patients with cerebral infarction. Results There were 115 patients who had clear causes（89.84% ） , and 13 patients who had no clear cause （ 10.12% ）. The main dangerous factors of cerebral infarction in young patients includes hypertension, smoking, family history, TIA and hyperlipemia. The features of cerebral infarction in young patients includes more male patients, and less disturbance of consciousness. The prognosis of the patients was good. Conclusions The main cause of cerebral infarction in young patients is arteriosclerosis. The minor causes are inflammation of vessels and embolism from heart. The main dangerous factors includes hypertension, smoking, family history, TIA and hyperlipemia. The prognosis of the patients is good. The recovery rate is high and the mortality is low.