青年脑卒中临床特点及病因分析

Clinical etiologic analysis of stroke in youth

目的探讨青年脑卒中的发病原因。方法对2005年11月至2011年11月收住院的285例青年脑卒中患者进行脑卒中病因的调查,对相关病因进行回顾性分析。结果青年脑卒中病人中,以30～45岁者居多(32.15%),且男性多于女性,主要有动脉粥样硬化、非动脉硬化性血管病、凝血异常、高血压、颅内血管异常等。结论青年脑卒中病因复杂多样,对其危险因素干预可以最大程度降低青年脑卒中的发生率、复发率,改善预后,提高生活和健康水平。

Objective To investigate the etiology of the stroke in youth. Methods Analysis etiology of stroke through 285 cases young stroke retrospeceively to find the reason of the disease during Novermber, 2005 to Novermber, 2011. Results results Of them, the proportions of age 30--45 （32.15%） are more, the proportion of male than female,important etiologies were atherosclerosis, non-atherosclerosis artery disease, abnormality of clotting mechasim, hypertension, intracranial blood vessel dysplasia. Conclusion The most important etiological factor in young ischemic stroke was atherosclerosis, followed by embolie cerebral artery disease： other factors （such as vasculitis,Moyamoya disease）, are few. The main factor of young hemorrhagic stroke was hypertension, followed intracranial blood vessel dysplasia.