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中青年人群中的脑梗死与脑出血

Brain infarction and hemorrhage in young and middle-aged adults.

作者信息

Lacy J R, Filley C M, Earnest M P, Graff-Radford N R

出版信息

West J Med. 1984 Sep;141(3):329-34.

Abstract

Of 131 young (17 to 44 years) and middle-aged (45 to 55 years) adults who had brain infarction or hemorrhage, the most common etiologic factors were rheumatic heart disease, migraine and oral contraceptive use among the younger group. In contrast, atherosclerotic, hypertensive and diabetes-associated cerebrovascular were the most common causes in the middle-aged group. Patients who have a stroke before age 45 should have prompt, complete laboratory and radiologic testing to define a possible treatable cause.

摘要

在131名患有脑梗死或脑出血的青年(17至44岁)和中年(45至55岁)成年人中,较年轻组最常见的病因是风湿性心脏病、偏头痛和口服避孕药的使用。相比之下,动脉粥样硬化、高血压和糖尿病相关的脑血管疾病是中年组最常见的病因。45岁之前发生中风的患者应迅速进行全面的实验室和影像学检查,以确定可能的可治疗病因。

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本文引用的文献

1
Cerebral thrombosis in patients under fifty years of age.五十岁以下患者的脑血栓形成
Arch Neurol. 1961 Mar;4:268-71. doi: 10.1001/archneur.1961.00450090034005.
2
Platelet aggregation and fibrinolytic activity in young alcoholics.年轻酗酒者的血小板聚集和纤溶活性
Acta Neurol Scand. 1980 Nov;62(5):287-92. doi: 10.1111/j.1600-0404.1980.tb03038.x.
3
Brain events associated with mitral valve prolapse.与二尖瓣脱垂相关的脑部事件。
Stroke. 1980 Sep-Oct;11(5):499-506. doi: 10.1161/01.str.11.5.499.

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