青年脑梗死患者病因及危险因素分析
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【中图分类号】R743【文献标识码】A【文章编号】1005-2720(2010)08 - 09 - 02
【摘要】目的 总结分析青年脑梗死患者的病因、危险因素。方法 回顾调查111例18～45岁年龄段的青年脑梗死患者的临床资料,归纳总结其常见病因及危险因素。结果 111例中青年脑梗死患者中有明确病因者99例(89.2%) ,病因不明的12例(10.8%)。其中动脉硬化78例(78.8%),烟雾病6例(5.4%),夹层动脉瘤4例(3.6%),栓塞性疾病3例(2.7%),脑动脉炎2例(1.8%),颅脑外伤2例(1.8%),蛛网膜下腔出血后血管痉挛2例(1.8%),先天性卵圆孔未闭1例,肌纤维发育不良1例(0.9%)。主要危险因素为高血压、高脂血症、高同型半胱氨酸血症、鼻窦炎、糖尿病、嗜烟酒、心脏病、抗磷脂抗体综合症。结论青年脑梗死常见病因是动脉粥样硬化;常见危险因素主要是高血压、高脂血症、高同型半胱氨酸血症。
【关键词】青年;脑梗死;危险因素
【Abstract】Objective To investigate the etiological factors and risk factors of cerebral infarction in young people. Methods The clinical data of 111 cases with cerebral infarction were analyzed retrospectively. Results 99cases with identifiable etiological factors and 12 cases without identifiable etiological factors. The etiological factors in young patients are atherosclerosis (78.8 %), embolism (2.7%), and other possible pathogens (18.5%). Conclusion The main cause is atherosclerosis for juvenile infarction in adult and young patients ......
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