65例青年人脑梗死的临床特点

目的分析青年人脑梗死的临床特点。方法回顾性分析65例青年脑梗死患者的临床资料,探讨其病因、危险因素和预后等临床特点。结果有明确病因者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%);病因不明者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%)。结论青年人脑梗死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。

Clinical characters of cerebral infarction on young patients

Objective To explore the clinical characters of cerebral infarction on young patients.Methods 65 cases of cerebral infarctions on young patients were retrospectively studied to explore its clinical characters such as the cause, dangerous factors and recovery.Results There were 38 cases of cerebral infarction with clear causes (58. 46%), among which 25 cases were arteriosclerosis (38.46%), 10 cases were cardiogenic cerebral infarction (15.38%), 2 cases were syphilitic arteritis(3.08%) and 1 case was polycythemia vera(1.54%). There were 27 cases with unclear causes (41.54%). The main dangerous factors included smoking, hypertension, abnormal blood fat, familial cerebrovascular disease, obesity, alcoholism, TIA medical record, diabetes and atria trill. There were 22 cases of basic recovery after therapy (33.85%), 16 cases of obvious improvement (24.62%), 13 cases of improvement (20.00%) and 14 cases remained unchanged (21.54%).Conclusion The most common causes for cerebral infarction on young patients include arteriosclerosis, cardiogenic cerebral thrombus, syphilitic arteritis. The most common dangerous factors are smoking, hypertension and abnormal blood fat. Most of the patients recover well.