中青年脑梗死的临床与CT(附178例分析)

Clinical Feature and CT Manifestation of Cerebral Infarction in Middle-aged and Young Patients(Analysis of 178 cases)

目的 :探讨中青年脑梗死的发病因素、临床特点及CT改变。方法 :回顾分析近 9年 16～ 45岁发病的 178例中青年急性脑梗死的病因、临床特点及头颅CT梗死灶部位及数目。结果 :中青年脑梗死临床并不少见 ,3 5～ 45岁年龄组的发病率明显高于 16～ 3 4岁年龄组 ,小血管闭塞和腔隙梗塞为病因的脑梗死发病率最高 ,梗死灶分布最多的仍见于单侧基底核区。结论 :高血压动脉硬化、高血脂、糖尿病、饮酒和吸烟是中青年脑梗死的主要发病因素。

Objective: To probe into the etiology,precipitating factors,clinical features and CT changes. Method: A retrospective method was used to analyze the etiology,precipitaging factors,clinical features as well as the location and number of infarct focuses shown in CT in 178 cases of patients aged 16 to 45 in recent nine years. Results: Cerebral infarction is not uncommon in middle aged and young patients.The incidence in 35～45 age group was higher than that in 16～34 age group.Cerebral infarction caused by arteriolar obliterans and lancunar infarctions were the most common types.The distribution of infarct focuses was still within the unilateral basal nuclei area. Conclusions: In middle aged and young patients with cerebral infarction,hypertensive arteriosclerosis remains the main cause,cardiogenetic embolism and other causes play an important role,and hypertension,hyperlipemia,diabetes as well as drinking and somking are important precipitating factors.