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目的:探讨青年人缺血性脑卒中的病因及临床特点。方法:对78例青年人缺血性脑卒中患者的临床特点、病因等资料进行总结分析。结果:有明确病因者68例,其中动脉硬化或动脉粥样硬化最多,为50例,其余为心源性脑梗死12例,脑血管畸形6例。和同期中老年患者比较,本组病情恢复快,预后好,死亡率低。结论:缺血性脑卒中的常见原因是动脉硬化与心源性栓塞,高血压、高血脂症、吸烟、酗酒等是重要危险因素。青年人应合理饮食,劳逸结合,改正吸烟、酗酒等不良生活习惯。
Objective: To investigate the etiology and clinical features of young people with ischemic stroke. Methods: 78 young patients with ischemic stroke clinical features, etiology and other data were analyzed. Results: There were 68 cases with definite causes, of which 50 cases were atherosclerosis or atherosclerosis, and the rest were cardiogenic cerebral infarction in 12 cases and cerebrovascular malformation in 6 cases. Compared with the same period of middle-aged and elderly patients, the group recovered fast, good prognosis, low mortality. Conclusion: Common causes of ischemic stroke are arteriosclerosis and cardioembolism, hypertension, hyperlipidemia, smoking, alcoholism and other important risk factors. Young people should be reasonable diet, work and rest, correct smoking, alcohol and other bad habits.