论文部分内容阅读
目的探讨青年缺血性脑卒中病人的临床特点。方法回顾性调查83例45岁以下青年缺血性脑卒中病人的临床表现及辅助检查结果,分析其特点。结果青年缺血性脑卒中病人占同期住院缺血性脑卒中病人的6.8%。男女患者比例为3.4:1;伴随高血压病者39例;8例行头颅核磁血管成像扫描检查,4例行脑血管造影检查,均证实有颈内动脉的斑块形成,颈内动脉、大脑中动脉不同程度的狭窄,甚至是闭塞。本组治愈率63.9%,好转率33.7%。结论高血压是青年缺血性脑卒中最重要的危险因素;动脉粥样硬化是青年脑卒中发病的重要原因;男性病例较女性多;青年缺血性脑卒中的预后较好,这与青年人一般状况较好以及缺血病变区脑组织侧支循环代偿较好有关。
Objective To investigate the clinical features of young patients with ischemic stroke. Methods Retrospective investigation of 83 cases of young people under the age of 45 ischemic stroke patients with clinical manifestations and laboratory examinations, analysis of its characteristics. Results Young ischemic stroke patients accounted for 6.8% of hospitalized ischemic stroke patients in the same period. The ratio of male and female patients was 3.4: 1; 39 patients with hypertension; 8 patients with cranial nuclear magnetic resonance imaging scan and 4 patients with cerebrovascular angiography confirmed plaque formation of internal carotid artery, internal carotid artery, brain Artery to varying degrees of stenosis, or even occlusion. The cure rate of 63.9%, improvement rate of 33.7%. Conclusions Hypertension is the most important risk factor for young people with ischemic stroke. Atherosclerosis is an important cause of stroke in young people. There are more males than females, and the prognosis of ischemic stroke in young people is good. The general condition is better and ischemic lesions of the brain collateral circulation compensation is better.