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目的 探讨青年脑梗死患者的病因、危险因素及临床特点。方法 回顾性分析106 例青年脑梗死患者的临床资料。结果 青年脑梗死最常见的病因是动脉粥样硬化(62 例, 58. 5%),其次为心源性疾病(16 例,15 .1%)、血管炎性病变(7例,6 .6%)及凝血异常(10 例,9. 4%)。主要的危险因素有高血压、高脂血症、吸烟、大量饮酒、脑卒中家族史。男性发病率明显高于女性,预后良好。结论 尽早明确病因,积极防治各种危险因素,给予充分的治疗可有效减少青年脑梗死的发生。
Objective To explore the etiology, risk factors and clinical features of young patients with cerebral infarction. Methods The clinical data of 106 young patients with cerebral infarction were retrospectively analyzed. Results The most common cause of cerebral infarction was atherosclerosis in 62 (58.5%), followed by cardiogenic disease (16 cases, 15.1%), vasculitic lesions (7 cases, 6.6 %) And coagulation abnormalities (10 cases, 9.4%). The main risk factors are hypertension, hyperlipidemia, smoking, heavy drinking, family history of stroke. The incidence of males was significantly higher than that of females, with a good prognosis. Conclusion As soon as possible a clear etiology, prevention and treatment of various risk factors, adequate treatment can effectively reduce the incidence of young cerebral infarction.