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青壮年脑卒中发病有逐年增多的趋势,病因有其特殊性。本文收集1999年4月～2000年8月的147例青壮年脑卒中患者,均按1995年全国第四届脑心管病学术会议制定的标准予以确诊。1 临床资料1.1 一般情况共有病人147例,其中男105例,女42例,年龄最大 40岁,最小 20岁,平均年龄 36.26±4.36岁。脑出血43例,脑梗死74例,蛛网膜下腔出血18例,脑梗死合并出血12例。工人41例,司机32例,农民28例,职员21例,干部19例,学生6例。超体重者85例,正常体重60例,低体重2例。吸烟者83例,饮酒者78例,有高血压病家族史者87例,脑血管病家族史者27例,糖尿病家族史者5例。1.2 既往病史高血压 69例,高血脂 45例,糖尿病 12例,风心病10例,风湿性关节炎5例,脑卒中5例,冠心病2例。1.3 起病形式见表1
The incidence of stroke in young adults has increased year by year trend, the etiology has its own particularity. This article collected from April 1999 to August 2000 in 147 cases of young stroke patients, according to the 1995 Fourth National Conference on Brain and Heart Stems to develop standards to be diagnosed. 1 Clinical data 1.1 General situation A total of 147 patients, including 105 males and 42 females, the oldest 40 years old, the youngest 20 years old, with an average age of 36.26 ± 4.36 years. 43 cases of cerebral hemorrhage, 74 cases of cerebral infarction, subarachnoid hemorrhage in 18 cases, 12 cases of cerebral infarction with bleeding. 41 workers, 32 drivers, 28 farmers, 21 staff, 19 cadres and 6 students. Ultra-weight 85 cases, normal weight 60 cases, 2 cases of low body weight. 83 smokers, 78 drinkers, 87 family history of hypertension, 27 family history of cerebrovascular disease and 5 family history of diabetes. 1.2 past history of hypertension in 69 cases, 45 cases of hyperlipidemia, 12 cases of diabetes, rheumatic heart disease in 10 cases, rheumatoid arthritis in 5 cases, 5 cases of stroke, coronary heart disease in 2 cases. 1.3 onset form shown in Table 1