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本文分析了40岁以下急性脑卒中患者349例。认为青少年急性脑卒中的常见病因为血液系统疾病、脑血管畸形、高血压动脉粥样硬化、动脉炎与风湿性心脏病等。其预后不但与脑血管疾病类型有关，而且还受原发疾病影响，不同的病因预后不一样。青少年脑卒中病因复杂，因此了解其可能的常见致病因素，对指导治疗及预防发病具有重要意义。凡是脑血管畸形及动脉瘤所致的急性出血性脑卒中，应尽可能手术治疗。血液病引起的急性出血性脑卒中，因绝大部分患者一般情况差，凝血机制障碍，宜采用保守治疗。
This article analyzes 349 patients with acute stroke under 40 years of age. The common causes of acute stroke in adolescents are blood diseases, cerebrovascular malformations, hypertension, atherosclerosis, arteritis and rheumatic heart disease. The prognosis is not only related to the type of cerebrovascular disease, but also affected by the primary disease, different causes of prognosis is not the same. The causes of stroke in adolescents are complex, so understanding their possible common risk factors is of great importance to guiding the treatment and preventing the disease. Any cerebral vascular malformations and acute hemorrhagic stroke caused by aneurysm, surgical treatment should be as possible. Acute hemorrhagic stroke caused by blood diseases, due to the vast majority of patients in general poor coagulation disorders, should adopt conservative treatment.