50岁以下脑梗塞的病因和远期预后

• 作 者: 刘兴洲 郭玉璞 曾为民
• 机 构: 北京协和医院神经科,北京协和医院神经科,北京协和医院神经科,
• 出 处: 中风与神经疾病杂志
• 发表日期: 1992年04期
• 关键词: 脑梗 左房粘液瘤 口服避孕药 动脉硬化 病因 心肌病 大动脉炎 发育不全 偏头痛 早发性

本文报告的100例50岁以下脑梗塞中,早发性动脉硬化为最常见病因(44%)。其次为器质性心脏病(29%);左房粘液瘤、潜在心肌病、纤维肌发育不全,Moyamoya病,Takayasu 大动脉炎等虽相对较为少见,但却为值得重视的原因。感染性血管病、偏头痛、口服避孕药和病因不明的病例都较文献报告为低。平均36.8个月的随访结果表明,心源性脑梗塞的死亡率最高;早发动脉硬化和器质性心脏病是复发的主要原发疾病;无复发存活病例中,多数预后较好。

Of the 100 patients with cerebral infarction under 50 years old reported here, the most common cause of early-onset arteriosclerotic disease (44%). Followed by organic heart disease (29%); left atrial myxoma, potential cardiomyopathy, fibromuscular hypoplasia, Moyamoya disease, Takayasu aortitis, although relatively rare, but it is worthy of attention. Infectious vascular disease, migraines, oral contraceptives and cases of unknown etiology were lower than reported in the literature. An average of 36.8 months of follow-up results showed that the highest mortality of cardiac infarction; early arteriosclerosis and organic heart disease is the main recurrence of the disease; no recurrence of survival, the majority of the prognosis is good.