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目的分析青年缺血性卒中的危险因素及其病因在TOAST分型中的分布。方法回顾性分析了113例青年缺血性卒中患者临床资料,对其危险因素进行分析,并总结其病因在TOAST分型中的分布。结果青年缺血性卒中的主要危险因素有:高血压病,高脂血症,糖尿病,吸烟,冠心病,高同型半胱氨酸血症等。找到明确病因的97例,大动脉粥样硬化31例,小动脉闭塞38例,心源性脑栓塞13例,动脉炎7例,病因不明16例。结论高血压病,高脂血症,糖尿病,吸烟,冠心病,高同型半胱氨酸血症是青年缺血性卒中的主要危险因素。大动脉粥样硬化及小动脉闭塞仍是青年卒中的主要病因。
Objective To analyze the risk factors of ischemic stroke in young people and its distribution in TOAST classification. Methods The clinical data of 113 young patients with ischemic stroke were retrospectively analyzed. The risk factors were analyzed and the distribution of their etiology in the TOAST classification was summarized. Results The main risk factors for young ischemic stroke were hypertension, hyperlipidemia, diabetes, smoking, coronary heart disease and hyperhomocysteinemia. 97 patients with definite etiology, 31 patients with large atherosclerosis, 38 patients with arteriole occlusion, 13 patients with cardiogenic cerebral embolism, 7 patients with arteritis and 16 patients with unknown etiology. Conclusion Hypertension, hyperlipidemia, diabetes, smoking, coronary heart disease and hyperhomocysteinaemia are the main risk factors of youth ischemic stroke. Great atherosclerosis and arteriolar occlusion are still the major causes of stroke in young people.