41例青年性缺血性脑卒中的临床分析

Clinical analyse of 41 cases of ischemic stroke in the young

目的 了解青年性缺血性脑血管病的病因、危险因素、临床特点。方法 回顾性分析41例青年组患者的病例资料,并与93例老年组及68例对照组进行比较。结果 15～45岁患者有41例,平均年龄(38.37±6.82)岁。病因:动脉粥样硬化(34.1％),小血管闭塞(24.4％),心源性栓塞(17.1％),原因不明(22.0％)。影像学检查累及脑叶者占36.6％。青年脑卒中患者的危险因素明显较对照组多。结论 青年性脑梗死患者中心源性脑栓塞较多。影像学检查显示累及脑叶者最多见。危险因素有吸烟、嗜酒、高血压病、高脂血症、心脏病等。

Objective To study the clinical features, risk factors and causes of cerebral infarction in young adults. Methods Analysed 41 cases of cerebral infarction in the young, and conpared them with 93 old patients and 68 controls. Results The average age of the young patients was 38.78 years old (15～45 years old). The cause of the disease was athero-sclerosis (34.1%) small vessel occlusion(24.4%), and cardial embolism (17.1%), but the cause of 22.0% of patient was not found. Imaging examination shows that the focus are in cerebral lobes about 36. 6%. The patients more risk factors than the control groups. Conclusions The incidence of cardiac embolism in the young was high and the focues are mostly in cerebral lobes. The risks factors are smoking, drinking, hypertention, hyperlipidemia, and cardiac diseases.