本文对一组45岁以下的60例缺血性卒中患者进行了回顾性研究。其中创伤诱发13例(占22%)。13例中9例是颈部运动引起,包括3例损伤椎动脉;其余4例是颈部直接创伤引起,包括自缢未遂2例,肩部负荷过重2例。60例脑梗塞患者均经CT或尸检确诊。讨论:不论是穿透性或非穿透性颈动脉或椎动脉损伤,可有几种不同途径引起脑梗塞。穿透性者与本文无关,故不讨论。如对创伤诱发的脑血管病不引起重视,非穿透性动脉创伤与脑梗塞之间关系往往易被忽略而误认为原因不清或其他原因。这样导致不适当的内科处理和否定肇事者给患者应付的经济赔偿。本文3例椎动脉损伤是在颈部运动后引起,椎动脉在环枢关节水平上特别易损伤,曾有血栓形成,裂开和管壁夹层血肿的许多报道。有很多 This article conducted a retrospective review of a group of 60 ischemic stroke patients under 45 years of age. Trauma induced 13 cases (22%). Nine of the 13 cases were caused by neck movement, including 3 cases of injury to the vertebral artery. The remaining 4 cases were caused by direct trauma to the neck, including 2 cases of self-escaping and 2 cases of shoulder overloading. 60 patients with cerebral infarction were confirmed by CT or autopsy. Discussion: Whether penetrating or non-penetrating carotid or vertebral artery injury, there are several different ways to cause cerebral infarction. Penetration and this article has nothing to do, it is not discussed. Such as trauma-induced cerebrovascular disease does not pay attention, the relationship between non-penetrating arterial trauma and cerebral infarction is often easy to overlook and mistaken for reasons or other reasons. This leads to improper medical treatment and denial of financial compensation to the patient by the perpetrator. In this paper, 3 cases of vertebral artery injury is caused by neck movement, vertebral artery at the level of the pivot joints particularly vulnerable, there have been thrombosis, rupture and wall dissection hematoma many reports. There are many