论文部分内容阅读
目的分析青年人缺血性脑卒中的病因、危险因素、临床特点、治疗及预后。方法回顾性分析56例青年人缺血性脑卒中患者的临床资料。结果有明确病因者45例(80.36%),病因不明者11例(19.64%),其中动脉粥样硬化28例(50.0%)、心源性脑栓塞8例(14.29%)、动脉炎或非特异性血管炎3例(5.36%)、血液系统疾病2例(3.57%)、偏头痛性2例(3.57%)、外伤性2例(3.57%)。主要危险因素有:高血压、高脂血症、吸烟、酗酒、心脏病以及脑卒中家族史。临床特点为:多见于男性,意识障碍少,颅高压症状轻,以偏侧肢体无力为主,预后较好。经治疗本组基本治愈22例(39.29%),显著进步18例(32.14%),进步9例(16.07%),死亡1例(1.79%)。结论青年人缺血性脑卒中的病因以动脉粥样硬化最多见,其次是心源性脑栓塞。主要危险因素是高血压、吸烟、酗酒及高脂血症。一般预后较好,治愈率高,死亡及致残率较低。
Objective To analyze the etiology, risk factors, clinical features, treatment and prognosis of young people with ischemic stroke. Methods The clinical data of 56 young patients with ischemic stroke were retrospectively analyzed. Results There were 45 cases (80.36%) with definite etiology, 11 cases (19.64%) with etiology, 28 cases (50.0%) with atherosclerosis, 8 cases (14.29%) with cardioembolism, arteritis or non- 3 cases (5.36%) had heterotrophic vasculitis, 2 cases (3.57%) had hematological system diseases, 2 cases (3.57%) had migraine headache and 2 cases (3.57%) had traumatic injury. The main risk factors are: hypertension, hyperlipidemia, smoking, alcoholism, heart disease and family history of stroke. Clinical features are: more common in men, less awareness, mild symptoms of intracranial hypertension, weakness of the main unilateral limbs, the prognosis is good. After treatment, 22 cases (39.29%) were cured basically, 18 cases (32.14%) were significantly improved, 9 cases (16.07%) advanced and 1 case died (1.79%). Conclusion The most common cause of atherosclerosis is ischemic stroke in young people, followed by cardiogenic cerebral embolism. The main risk factors are high blood pressure, smoking, alcoholism and hyperlipidemia. The general prognosis is good, high cure rate, death and disability rate is low.