脑卒中是一种常见病,而40岁以下发病者则较少见。发生于青年人的卒中称“青年中风”。现将临床所见的25例15～40岁的缺血性中风进行分析,并对其病因略加探讨。1 诊断依据①突然发作的神经症状及局灶体征符合颈内动脉系、椎-基动脉系或颈内静脉阻塞血管的分布范围。②病情演进及病程符合一般缺血性中风的规律。③脑血管造影或CT检查,证实有血管闭塞或缺血性改变并排除颅内占位性病变者。④脑脊液检查除外颅内出血或炎症。具备上述①、②两条及③、④中一条者可以考虑作出诊断。2 一般资料 Stroke is a common disease, while those under 40 are less common. Stroke occurred in young people called “youth stroke.” Now see the clinical findings of 25 cases of 15 to 40-year-old ischemic stroke were analyzed, and its etiology slightly discussed. A diagnosis based on ① sudden onset of neurological symptoms and focal signs consistent with the Department of internal carotid artery, vertebrobasilar artery or jugular vein occlusion vascular distribution. ② progression and course of disease consistent with the general rule of ischemic stroke. ③ cerebrovascular angiography or CT examination, confirmed vascular occlusion or ischemic changes and exclude intracranial space-occupying lesions. ④ cerebrospinal fluid examination except intracranial hemorrhage or inflammation. With the ①, ② two and ③, ④ one can consider making a diagnosis. 2 general information