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目的探讨青年人缺血性脑梗死的病因与危险因素。方法将所有患者按年龄分成2组:一组为15～29岁,另一组为30～40岁。每组中再根据TOAST病因分类,将病人分成5组:大动脉粥样硬化组(ATR)、心源性栓塞组(CEMB)、腔隙性脑梗死组(LAC)、其他原因所致脑梗死组(OTH)、不明原因脑梗死组(UND),对所得结果进行统计学处理。结果女性共22例,ATR1例、LAC3例、CEMB4例、OTH10例、UND4例。男性39例,ATR4例、LAC20例、CEMB6例、OTH7例、UND2例。LAC、ATR中主要以30~40岁男性为多,LAC和ATR多有明确高血压病史、吸烟、饮酒、高血脂等危险因素。结论应早期防治高血压、控制血糖、降血脂治疗、积极治疗各种心脏病,以提高青年缺血性脑梗死的预防和治疗水平。
Objective To investigate the etiology and risk factors of ischemic cerebral infarction in young people. Methods All patients were divided into two groups by age: one group was 15 to 29 years old and the other group was 30 to 40 years old. Each group was divided into five groups according to TOAST etiology classification: Atherosclerosis group (ATR), cardioembolism group (CEMB), lacunar infarction group (LAC), other causes of cerebral infarction group (OTH), unexplained cerebral infarction group (UND), the results were statistically processed. Results A total of 22 women, ATR1 cases, LAC3 cases, CEMB4 cases, OTH10 cases, UND4 cases. 39 males, 4 ATRs, 20 LACs, 6 CEMBs, 7 OTHs and 2 UNDs. LAC, ATR mainly men aged 30 to 40, LAC and ATR have a clear history of hypertension, smoking, alcohol consumption, high blood lipids and other risk factors. Conclusion Early prevention and treatment of hypertension, blood glucose control, lipid-lowering therapy, active treatment of various heart diseases, in order to improve the prevention and treatment of ischemic cerebral infarction in young patients.