青年缺血性脑卒中50例临床病因分析

目的分析青年缺血性脑卒中临床特点、亚型、危险因素和预后。方法回顾性地分析50例青年缺血性脑卒中临床病例。结果男女比例为79．5％：20．5％，亚型以腔隙性脑梗死为主，青年脑梗死与高血压、动脉硬化、吸烟、肥胖及家族史相关，以吸烟为著，占67．5％。青年缺血性脑卒中预后相对比较好。结论青年缺血性脑卒中发病率正在逐步增长且男性超过女性；高血压、动脉硬化、吸烟、肥胖和家族史是青年缺血性卒中常见的危险因素；青年卒中的预后相对较好。进一步的研究是必须的，应该积极去除这些危险因素从根本上减少青年缺血性脑卒中发病率。

Objective To analyze the clinical characteristics, subtypes, risk factors, and prognosis of cerebral ischemic stroke in youth. Methods The clinical data of 50 young patients with cerebral ischemic stroke were retrospectively analyzed. Results There were more males than females in the young patients with cerebral infarction, 79.5% vs 20. 5% ; The type of lacunar infarction is dominant; Hypertension, arteriosclerosis, smoking, obesity and family history were risk factors in these young patients with cerebral infarction and smoking is prominent, 67.5%. Prognosis of cerebral ischemic stroke in youth is relative good. Conclusion The incidence of cerebral ischemic stroke in youth is increasing and the number of male exceeds that of femal; Hypertension, arteriosclerosis, smoking, obesity and family history are risk factors for cerebral ischemic stroke in the young patients; Prognosis of cerebral ischemic stroke in youth is relative optimistic. More further studies are needed, measures should be actively taken to get rid of these factors in order to reduce the incidence of cerebral ischemic stroke in youth radically.