摘要
目的探讨青年缺血性脑卒中的常见病因及危险因素。方法回顾性分析51例18～45岁青年脑卒中患者病例资料,并与74例45岁以上老年脑卒中患者进行对照研究,探讨青年患者发病的病因及危险因素。结果青年组非动脉粥样硬化性血管病变及无明显血管病变的比例高于老年组,常见危险因素包括血脂异常(尤其总胆固醇、三酰甘油及脂蛋白-A)、高血压及吸烟。空腹血糖、低密度脂蛋白和纤维蛋白原等指标与老年脑卒中有关。结论青年脑卒中病因及危险因素多样,且有特殊性,不明原因的病例占较大比例,明确病因有赖于完善各项检查。
Objective To study the etiologies,risk factors of stroke in young aduhs.Methods We analyzed 51 cases of stroke in young adults aged between 18 to 45 respectively,compared with 74 cases of stroke in adults over 45,explored respectively the etiology and risk factor features.Results Non-atherosclerotic vasculopathy and stroke without vasculopathy are more frequent in young adults.The most frequent risk factors of stroke in young adults included dyslipidemia（especially abnormality of TC,TG and Lpa）,hypertension and cigarette smoking,while FBS,LDL,FIB are more responsible for the olders.Conclusion There are multiple etiologies and risk factors for stroke in young adults with the unique characteristic,a large propotion of whose etiologies are unknown.A thoughtful and thorough examination is required to identify the etiology for the young stroke patient.
出处
《实用心脑肺血管病杂志》
2012年第6期964-967,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
青少年
卒中
病因
危险因素
Adolescents
Stroke
Etiology
Risk factor
