中青年脑梗死的临床表现及发病原因分析

Analysis of the clinical manifestations and etiology in young and middle-aged cerebral infarction

目的:探讨中青年脑梗死的临床表现及发病原因。方法:收治中青年脑梗死患者70例,总结其临床表现及致病原因。结果:70例患者中,偏瘫35例(50%)、感觉障碍15例(21.43%)、言语障碍12例(17.14%)、其他症状8例(11.43%);致病原因:大动脉粥样硬化型30例(42.86%)、心源性栓塞型22例(31.43%)、小动脉闭塞型12例(17.14%)、其他明确病因5例(7.14%)、未明确病因1例(1.43%)。结论:明确中青年脑梗死诱发原因并采取积极的预防措施对于降低该病症发生率具有重要意义。

Objective:To investigate the clinical manifestations and etiology of cerebral infarction in young and middleaged cerebral infarction.Methods:70 young and middle-aged patients with cerebral infarction were selected,then their clinical manifestations and causes were summarized.Results:Among those 70 patients,there were 35 cases(50%) with hemiplegia,15 cases(21.43%) with sensory disturbance,12 cases(17.14%)with speech disorder,8 cases with other symptoms(11.43%);the pathogenesis of the disease:30 cases(42.86%) of large artery atherosclerosis,22 cases (31.43%) of cardioembolism,12 cases(17.14%) of small artery occlusion,5 cases(7.14%) of other determined etiology,and 1 case(1.43%) had no clear etiology.Conclusion:To make clear the etiology of cerebral infarction in young and middle-aged patients and take active preventive measures will play an important significance on reduce the incidence of the disease.