61例青年脑梗死病因及危险因素的分析  

Analysis of the etiology and dangerous factors of cerebral infarction in 61 young adults

作　　者：于雪凡[1] 李颖新[1] 赵节绪[1] 

机构地区：[1]吉林大学第一医院神经内科,吉林长春130021

出　　处：《中风与神经疾病杂志》2004年第4期357-359,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的　发现青年人脑梗死可能存在的不同病因及危险因素。方法　将 6 1例 15～ 4 0岁脑梗死患者按年龄分成两组 ( 15～ 2 9岁一组 ,30～ 4 0岁一组 )。再根据 TOAST病因分类 ,将患者分成 5组 ( ATR,CEMB,L AC,OTH,U ND)。结果　 6 1名脑梗死患者中 ,男 39例 ,女 2 2例。根据 TOAST病因分类 ,ATR5例 ( 8.2 % ) ,L AC2 3例( 37.7% ) ,CEMB10例 ( 16 .4 % ) ,OTH17例 ( 2 7.9% ) ,UND6例 ( 9.8% )。结论　青年脑梗死发病原因有其特殊性 ,应引起临床注意。15～ 2 9岁组以其它原因所致脑梗死 ( OTH)和女性为主 ;L AC和 ATR均多见于 30～ 4 0岁组 ,且男性为多 ;两组心源性栓塞无明显差异。高血压、高血糖、高胆固醇血症、吸烟。Objective To find out the different etiologies in those young cases with cerebral infarction. Methods We divided 61 patients aged from 15 to 40 years old into two groups by age level (one is of 15～29 years,the other one is of 30～40 years).Then divided those patients into fivegroups according to the TOAST(ATR,CEMB,LAC,OTH and UND).Results Among 61 cerebral infarction patients,there were 39 male cases and 22 female cases.The distribution of the 61 cases divided by TOAST pathogen was as followed:5 cases of ATR (8.2%),23 cases of LAC (37.7%),10 cases of CEMB (16.4%),17cases of OTH (27.9%),6 cases of UND ( 9.8 %).Conclusions Weshould pay attention to the young adults with cerebral infarction because they havecharacteristis:in 15 to 29 years old group showing more relationship with OTH and female,in 30 to 40 years old groups showing more relationship with LAC,ATR and male.The CEMB in the two group has no significant difference.Some dangerousfactors such as smoking,drinking,hypertension and high blood lipid should be attentioned.

关 键 词：青年 脑梗死 病因 危险因素 大动脉粥样硬化 心源性栓塞 

分 类 号：R743.33[医药卫生—神经病学与精神病学]