【摘要】 目的分析青年人脑梗塞的临床特点。方法回顾性分析65例青年脑梗塞患者的临床资料,探讨其病因、危险因素和预后等临床特点。结果有明确病因38例(58.46%),其中动脉粥样硬化25例(38.46%),心源性脑栓塞10例(15.38%),梅毒性动脉炎2例(3.08%),真性红细胞增多症1例(1.54%);病因不明27例(41.54%)。主要危险因素有吸烟、高血压、血脂异常、脑血管疾病家族史、肥胖、酗酒、TIA病史、糖尿病、房颤等。经治疗基本痊愈22例(33.85%),显著进步16例(24.62%),进步13例(20.00%),无变化14例(21.54%)。结论青年人脑梗塞的病因以动脉粥样硬化、心源性脑栓塞、梅毒性动脉炎最常见。以吸烟、高血压、血脂异常等为最常见的危险因素。大多数患者预后较好。更多还原

【Abstract】 Objective To analyze the clinical characteristics of brain infarction in young adults. Methods The clinical materials in 65 young adults with brain infarction were retrospectively analyzed by observing the disease cause, risk factors and clinical prognosis. Results 38 patients (58.46%) were found with definite disease cause, of which 25 cases (38.46%) with atherosclerosis, 10 cases cardiogenic brain infarction (15.38%), 2 cases (3.08%) syphilitic arteritis, 1 case (1.54%) polycythemia vera; 27 patients (41.54%) with undefinite disease cause. The main risk factors were smoking, hypertension, hyperlipemia or hypolipemia, family history of cerebrovascular disease, fat, drinking, TIA history, diabetes mellitus and atrial fibrillation, et al. After treatment, 22 cases (33.85%) were healed, 16 cases (24.62%) improved significantly, 13 cases (20.00%) improved, 14 cases (21.54%) without changes. Conclusion The common causes of brain infarction in the young are atherosclerosis, cardiogenic brain infarction and syphilitic arteritis. The common risk factors are smoking, hypertension and abnormal lipid. The majority has better prognosis.更多还原