150例青年缺血性脑卒中危险因素研究  

Analysis of Clinical Etiology and Risk Factors of 150 Cases Young Cerebral Stroke Patients

作　　者：鱼海 张建军[1] 张会平[1] 高李[1] 尉建辉[1] 陈颖聪[1] 耿佼[1] 徐志昊 王宏[2] 

机构地区：[1]陕西省宝鸡市中心医院神经内科,陕西宝鸡721008 [2]天津医科大学总医院神经内科,天津和平区300052

出　　处：《河北医学》2016年第1期84-87,共4页Hebei Medicine

基　　金：天津市自然科学基金;(编号:07JCYBC15700)

摘　　要：目的:总结住院的青年脑卒中的患者的资料共计150例,对青年脑卒中临床特点进行总结并分析患者的病因。方法:对2011年6月至2014年9月入院进行治疗的150例的青年脑卒中病例进行回顾分析,总结他们的病因以及临床特点,并进行系统化的分析。结果:150例的青年脑卒中的患者中包含69例的出血性脑卒中患者以及81例的缺血性脑卒中患者,临床上发病率较高的疾病包括:脑血栓的形成(24.3%)、蛛网膜下腔的出血(20.4%)、基底节区的出血(17.9%)、脑栓塞(14.3%)。青年脑卒中的主要发病原因包括高血压(41.5%)、动脉的粥样硬化(18.7%)、脑动脉瘤(8.7%)。结论:青年脑卒中患者在临床上以蛛网膜下腔的出血、基底节区的出血、脑血栓的形成、脑栓塞发病率最高。青年脑卒中的病因主要包括高血压、动脉粥样硬化以及脑动脉瘤。Objective： To summarize the information of 150 cases of young cerebral stroke,analyze the clinical characteristics and etiology of young cerebral stroke,and investigate the risk factors of young cerebral stroke. Method： 150 cases of young cerebral stroke patients from January 2010 to June 2014 in our hospital were retrospectively analyzed,and the clinical characteristics and etiology were summarized and analyzed.Result： In 150 cases patients,69 cases of patients with hemorrhagic stroke and 81 cases of ischemic stroke were included,and the highest incidence disease were subarachnoid hemorrhage（ 19. 4%）,basal ganglia hemorrhage（ 17. 7%）,cerebral thrombosis（ 25.3%）,and brain embolism（ 14. 5%）. The main pathogenesis reasons were hypertension（ 42. 5%）,atherosclerosis（ 17. 7%）,and cerebral aneurysms（ 9. 7%）. Conclusion：The incidence of subarachnoid hemorrhage,basal ganglia hemorrhage,cerebral thrombosis,and brain embolism are the highest. The main pathogenesis reasons of young stroke are hypertension,atherosclenosis and cere aneurysms.

关 键 词：缺血性脑卒中 青年 病因 

分 类 号：R743.3[医药卫生—神经病学与精神病学]