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目的分析青年脑卒中患者116例的DSA检查结果,探讨其病因和危险因素。方法收集我院2009年1月—2012年5月住院患者。年龄15～45岁的青年脑卒中116例,均经CT或MR检查证实,全部行DSA检查,进行临床资料总结分析。结果 116例青年脑卒中,出血性脑卒中82例(70.7%),缺血性脑卒中34例(29.3%)。提示以出血性脑卒中为多见。出血性脑卒中,其中脑动脉瘤30例(36.5%),脑动静脉畸形20例(24.3%),脑动脉硬化16例(19.5%),颅内海绵状血管瘤4例(4.87%),moyamoya病4例(4.87%),原因不明8例(9.7%)。缺血性脑卒中,其中脑动脉硬化12例(35.2%),脑动脉炎6例(17.6%),moyamoya病6例(7.6%),血管先天性狭窄2例(5.8%),原因不明8例(23.5%)。主要危险因素:嗜烟酒36例(31.0%),高血压、高脂血症40例(34.5%),糖尿病6例(5.2%),卒中家族史14例(12.0%)。结论早期干预和控制青年脑卒中的危险因素,采取针对性防治,可降低青年脑卒中的发病。
Objective To analyze the results of DSA in 116 young stroke patients and explore their etiology and risk factors. Methods We collected hospitalized patients from January 2009 to May 2012 in our hospital. A total of 116 young stroke patients aged 15-45 years old were confirmed by CT or MR examination. All patients underwent DSA examination and the clinical data were analyzed. RESULTS: Among the 116 young stroke patients, 82 (70.7%) had hemorrhagic stroke and 34 (29.3%) had ischemic stroke. Prompt hemorrhagic stroke is more common. There were 30 cases (36.5%) of cerebral aneurysm, 20 cases of cerebral arteriovenous malformation (24.3%), 16 cases of cerebral arteriosclerosis (19.5%), 4 cases of intracranial cavernous hemangioma (4.87%), In 4 cases (4.87%) of moyamoya disease, 8 cases (9.7%) were unknown. There were 12 cases of cerebral arteriosclerosis (35.2%), 6 cases of cerebral arteritis (17.6%), 6 cases of moyamoya disease (7.6%) and 2 cases of vascular congenital stenosis (5.8% Example (23.5%). The main risk factors were alcohol addiction and smoking in 36 cases (31.0%), hypertension, hyperlipidemia in 40 cases (34.5%), diabetes in 6 cases (5.2%) and stroke family history in 14 cases (12.0%). Conclusion Early intervention and control of risk factors for stroke in young people, targeted prevention and treatment can reduce the incidence of stroke in young people.