青年脑梗死危险因素及病因分析  

Analysis of the causes and risk factors of cerebral infarction in young adults

作　　者：蔡荣[1] 

机构地区：[1]浙江余姚市人民医院急诊科,余姚315400

出　　处：《中国实用神经疾病杂志》2013年第11期17-18,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的了解青年脑梗死患者的危险因素及病因分型。方法回顾性分析2009-01—2011-12我院收治的73例青年脑梗死患者一般资料,收集73例同期住院的老年脑梗死患者的一般资料,比较2组患者在发病危险因素及脑梗死病因上的差异。结果青年脑梗死患者心房颤动、高同型半胱氨酸血症、发病前服用避孕药的数量明显高于老年脑梗死患者,差异有统计学意义(P<0.05)。改良TOAST分型显示,青年脑梗死患者心源性栓塞(CE)及其他明确病因型(SOD)比例明显高于老年脑梗死患者。结论青年脑梗死患者与老年脑梗死患者存在不同的危险因素,青年脑梗死发病有其特殊性,临床上应采取不同的预防措施。Objective To explore the causes and risk factors of cerebral infarction in young adults.Methods We retrospectively analyzed the clinical data of 73 young cerebral infarction patients and 73 elderly infarction patients in our department from January 2009 to October 2011,and the causes and risk factors of cerebral infarction were compared.Results Atrial fibrillation,hyperhomocysteinemia and taking acyeterion were the most common risk factors for cerebral infarction in young adults.Compared to the old adults,cardiogenic cerebral embolism and cerebral infarction of other causes were the main etiological factors of young cerebral infarction patients.Conclusion Risk factors are significantly different between the two groups and different preventive and treatment measures should be taken.

关 键 词：脑梗死 危险因素 青年 病因 

分 类 号：R743.33[医药卫生—神经病学与精神病学]