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脑卒中的发病率为1.5~2‰。近来脑卒中有年龄变轻的趋向。有人统计,在8,200例脑卒中患者中40岁以前者占6%,而50岁以前者为23%。作者对165例脑卒中患者的完整的病历资料进行了详细的分析。患者年龄35~76岁,以56~65岁(62例)和66~75岁(152例)占多数。男75例,女90例。在动脉硬化基础上发生卒中22例,动脉硬化合并高血压133例,高血压病7例,心脏二尖瓣联合瓣膜病变3例。患糖尿病47例,下肢血栓性静脉炎33例,慢性缺血性心脏病2例,心律失常62例。 16例卒中患者是出血性,149例为缺血性,且35例卒中局限于椎动脉系统内,114例在颈动脉系统内,56例死亡(38.9%),109例存活(66.1%)。患病后存活者的年龄45~76岁(平均60岁)。平均死亡年龄68岁。43例卒中患者存活5~9年以上(占总存活
The incidence of stroke is 1.5 to 2 ‰. Recently, stroke tends to be younger. Some statistics, in 8,200 cases of stroke patients before the age of 40 accounted for 6%, while those before the age of 50 was 23%. The author of 165 cases of stroke patients complete medical records were analyzed in detail. Patients ranged in age from 35 to 76 years, accounting for 56 to 65 years (62 patients) and 66 to 75 years (152 patients). 75 males and 90 females. Stroke occurred on the basis of atherosclerosis in 22 cases, arteriosclerosis with hypertension in 133 cases, hypertension in 7 cases, mitral valve valvular heart disease in 3 cases. 47 cases of diabetes mellitus, 33 cases of lower extremity thrombophlebitis, 2 cases of chronic ischemic heart disease, arrhythmia in 62 cases. Sixteen patients with stroke were hemorrhagic, 149 were ischemic, and 35 were confined to the vertebral artery. Out of 114 in the carotid system, 56 died (38.9%) and 109 survived (66.1%). The survivors of illness after illness 45 to 76 years old (average 60 years old). The average age of death is 68 years. 43 patients with stroke survived 5 to 9 years (total survival