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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132例首发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,其次为心源性疾病、凝血异常、血管畸形及血管炎等。主要的危险因素有高血压、吸烟、高脂血症、饮酒、糖尿病。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,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: A retrospective analysis of 132 cases of first-onset young patients with cerebral infarction clinical data. Results: The most common cause of cerebral infarction in young people was atherosclerosis, followed by cardiogenic diseases, coagulation abnormalities, vascular malformations and vasculitis. The main risk factors are high blood pressure, smoking, hyperlipidemia, alcohol consumption, diabetes. 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, can effectively reduce the incidence of cerebral infarction in young people.