摘要
目的:分析中青年人缺血性脑卒中的病因、危险因素、临床特点及预后。方法:回顾性分析128例中青年缺血性脑卒中患者的临床资料。结果:有明确病因者120例(93.5%),病因不清者8例(6.25%),其中高血压病49例(38.28%),糖尿病4例(3.13%),TIA13例(10.16%),高血脂18例(14.06%),吸烟28例(21.88%),家族史13例(10.16%),酗酒10例(7.81%),高凝状态脑梗死3例(2.34%),栓塞性血管病11例(8.5%),高同型半胱氨酸9例(7.03%),低血压2例(1.56%),偏头痛2例(1.56%)。主要危险因素有:高血压病、吸烟、家族史、TIA、高血脂、饮酒及高同型半胱氨酸。临床特点:多见于男性(63.83%),临床上意识障碍少(6.25%),高颅压症状轻,以偏侧肢体无力为主,预后较好。显效率高(95.31%)。结论:中青年缺血性脑卒中的病因以早发性动脉硬化为主,其次有高凝状态、栓塞性血管病等。主要危险因素是:高血压、吸烟、高血脂症、高同型半胱氨酸血症等。一般预后好,治愈率高,死亡及致残率较低。
Objective ： Analyses etiological factor, risk factor, clinic feature and prognosis of cerebral arterial thrombosis in young patients. Methods ： The clinical datas of 128 cases with cerebral arterial thrombosis were analyzed retrospectively. Results ： 120 cases with identify etiological factor, and 8 cases without dentify etiological factor. Of the total, hypertension 49 （38.28 % ）, diabetes 4 （3.13%）, TIA 13 （ 10.16% ）, hyperlipemia 18 （ 14.06% ）, smoke 28 （21.88%） , family history 13（ 10.16% ） , lcohol abuse10（7.81% ） ,3 cases with hypercoagulabale state（ hcs ） ;11 cases with embolism angionosis; 9 cases with high homocysteic acid（HCA） ;2 cases with hypopiesia and 2 cases with hemicrania. The main Risk factor： hypertensive disease,smoke, family history, TIA, hyperlipemia,drink liquor, high homocysteic acid （HCA）. Clinic feature： much cases in male, less cases with conscious disturbance, light symptom of high brain pressure, appearance more in lateralization somatasthenia. With better prognosis, higher excellence ratio. Conclusion ： The etiological factors of cerebral arterial thrombosis in young patients are： atherosclerotic, hypercoagulabale state, embolism angionosis. The main risk factors are： hypertensive disease, smoke, hyperlipemia and high homocysteic acid. The cerebral arterial thrombosis in young patients with better prognosis, higher cure rate and lower death rate and mutilation rate.
出处
《河南医学研究》
CAS
2007年第3期219-221,共3页
Henan Medical Research
关键词
脑卒中
中青年
临床
危险因素
acute cerebral
young patients
clinic
risk factor
