糖尿病合并急性心肌梗死的临床分析

目的：探讨糖尿病（DM）对急性心肌梗死（AMI）的临床特点及预后影响。方法：取糖尿病36例和非糖尿病38例合并急性心肌梗死的病人，对比分析其临床症状、体征、并发症及预后。结果：DM组发生多部位梗死高于非DM组，DM组患者无痛性AMI发生率高，DM组发生AMI时并发症及病死率明显高于非DM组。结论：DM合并AMI患者临床症状不典型，以无痛性多见，易发生严重心律失常、心力衰竭、休克等并发症，病死率高，临床医生应提高警惕，早期发现及时治疗，以改善DM合并AMI患者的预后。

Clinical analysis of cases with diabetes mellitus complicated with acute myocardial infarction

Objective To explore the clinical features and prognosisin Diabetes Mellitus patients combined with Acute Myocardial Infarction(AMI).Methods 36 AMI patients with Diabetes Mellitus(DM group)were compared with 38 non diabetic AMI patients(Non-DM group).Results In DM group,the incidence of multi-part infarction,analgesic AMI,the complication and death rate were all statistically higher than Non-DM group.Conclusions The Diabetes Mellitus patients combined with AMI normally have atypical symptoms,mostly analgesic AMI,they also have a preference to severe arrhythmia,heart failure and shock with higher death rate.Timely detection and treatment are extremely important for the Diabetes Mellitus patients combined with AMI.