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目的探究青年隐源性脑梗死患者的临床特点。方法选择25例隐源性脑梗死青年患者为研究对象,回顾分析其性别、起病方式、首发症状、梗死部位、预后情况、并发症等资料,总结此疾病的临床特点。结果青年隐源性脑梗死男性发病率高于女性;静态起病率高于活动起病率;头痛、头晕、呕吐的首发表现高于其他症状;大面积脑梗死高于其他梗死。25例患者的治疗总有效率为96.00%,并发症发生率为28.00%。结论青年隐源性脑梗死主要为静态起病的大面积脑梗死,首发症状为头痛、头晕、呕吐,男性患者尤为多见,经及时对症治疗,预后效果良好。
Objective To explore the clinical features of young patients with cryptogenic cerebral infarction. Methods Twenty-five young patients with cryptogenic cerebral infarction were selected as the research object. The gender, onset pattern, initial symptom, infarction location, prognosis and complications were retrospectively analyzed. The clinical features of the disease were summarized. Results The incidence of cryptogenic cerebral infarction in young men was higher than that of the female ones. The static incidence rate was higher than that of the active ones. The headache, dizziness and vomiting were higher than those of other symptoms. The large area cerebral infarction was higher than other infarcts. Twenty-five patients had a total effective rate of 96.00% and a complication rate of 28.00%. Conclusions Young patients with cryptogenic cerebral infarction are mainly large-area cerebral infarction with static onset. The first symptom is headache, dizziness and vomiting, especially in male patients. After timely symptomatic treatment, the prognosis is good.