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糖尿病合并急性心肌梗死临床特征分析
引用本文:王尚珍,刘鹏. 糖尿病合并急性心肌梗死临床特征分析[J]. 中国病案, 2011, 12(8): 60-61
作者姓名:王尚珍  刘鹏
作者单位:河南省南阳市第三人民医院,南阳市,473003
摘    要:目的探讨2型糖尿病(Type 2 diabetes mellitus,T2DM)合并急性心肌梗死(Acute myocardial infarction,AMI)患者的临床特征,明确危险因素及预后。方法 98例AMI患者分为2型糖尿病合并急性心肌梗死(T2DM+AMI)组和非2型糖尿病急性心肌梗死(NT2DM+AMI)组,对比分析两组患者的临床特征及血生化检查结果。结果 (1)T2DM+AMI组发病年龄较NT2DM+AMI明显提前,女性占患者总数百分比高于NT2DM+AMI;(2)T2DM+AMI组无痛性心肌梗死发生率高(27.1%)、并发症多、预后差;(3)T2DM+AMI组患者高甘油三脂血症、低高密度脂蛋白血症患者明显高于NT2DM+AMI组。结论重视女性糖尿病患者的血脂异常,警惕糖尿病合并急性心肌梗死的不典型表现,提高急性心肌梗死的诊治水平。

关 键 词:糖尿病  急性心肌梗死  临床特征

Analysis of Clinical Symptoms about Diabetes Mellitus Combined with Acute Myocardial Infarction
Wang Shangzhen,Liu Peng. Analysis of Clinical Symptoms about Diabetes Mellitus Combined with Acute Myocardial Infarction[J]. Chinese Medical Record, 2011, 12(8): 60-61
Authors:Wang Shangzhen  Liu Peng
Affiliation:Wang Shangzhen,Liu Peng,The Third People's Hospital of Nanyang City,Nanyang 473003,Henan Province,China
Abstract:Objective To discuss the clinical symptoms of T2DM and AMI,know risk factors and prognosis.Methods 98 cases of AMI patients were divided to two groups according to whether T2DM.Comparing two groups of patients with clinical features and blood biochemistry test results.Results(1) Age of onset of T2DM+AMI group was significantly earlier than NT2DM+AMI,and Percentage of women was higher than NT2DM+AMI.(2) The incidence of painless myocardial infarction of T2DM+AMI group was high(27.1%),much complications,and p...
Keywords:Diabetes mellitus  Acute myocardial infarction  Clinical symptoms  
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