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目的研究分析102例不同年龄组急性脑梗死患者的病因、症状、体征及头部CT检查结果。方法将102例急性脑梗死患者分为老年组和非老年组,对发病因素、症状、体征和头部CT特点进行对比分析。结果 102例ACI发病因素中,高血压者占65.69%,冠心病者占24.51%,糖尿病者占25.49%,有短暂性脑缺血发作病史者占30.39%,高脂血症者占47.06%,吸烟者占54.90%,有家族史者占31.37%,非老年组中初发者多见,有头痛、头晕及偏身感觉障碍等症状者比老年组多见,而偏瘫、四肢瘫、构音障碍及意识障碍者则老年组多见,头部CT示单梗塞灶者在非老年组多见,多梗塞灶、脑白质脱髓鞘及脑萎缩者在老年组多见。结论脑梗死患者因年龄不同,其发病因素、临床表现及头部CT所见有所不同。
Objective To study the etiology, symptoms, signs and head CT findings of 102 patients with acute cerebral infarction of different ages. Methods A total of 102 patients with acute cerebral infarction were divided into the elderly group and the non-elderly group. The incidence, symptoms, signs and head CT features were compared. Results Among the 102 patients with ACI, 65.69% had hypertension, 24.51% had coronary heart disease, 25.49% had diabetes, 30.39% had history of transient ischemic attack, 47.06% had hyperlipidemia, Smokers accounted for 54.90%, family history accounted for 31.37%, more common in non-elderly group of first-episode, headache, dizziness and partial body sensory disturbances and other symptoms than the elderly group more common, and hemiparesis, limb paralysis, tone Obstacles and disturbance of consciousness are more common in the elderly group, the head CT showed single infarction in the non-elderly group more common, multi-infarction, demyelination of brain white matter and brain atrophy more common in the elderly group. Conclusion The patients with cerebral infarction due to different ages, the incidence of factors, clinical manifestations and head CT seen different.