糖尿病合并急性心肌梗死的临床分析

目的:探讨糖尿病(DM)合并急性心肌梗死(AM I)的临床特点及预后。方法:取糖尿病和非糖尿病各36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(P<0.05),DM组患者无痛性AM I发生率高(占44.4%),DM组发生AM I时并发症及病死率明显高于非DM组(P<0.05),主要死因为泵衰竭、室颤,早期诊断、及时治疗降低病死率。结论:DM合并AM I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,及时治疗、积极控制血压、血糖等以减少并发症,降低病死率。

Clinical Analysis of cases with Diabetes Mellitus complicated with Acute Myocardial Infarction

Objective: To explore the clinical features and prognosis in Diabetes Mellitus patients combined with Acute Myocardial Infarction(AMI).Method: 36 Diabetes Mellitus(DM) and 36 non-Diabetes Mellitus(Non-DM) patients were chosen as study and control groups respectively.All the clinical signs,symptoms,complications and prognosis were compared accordingly.Result: In DM group,the incidence of multi-part infarction,analgesic AMI(as high as 44.4%),the complication and death rate were all statistically higher than Non-DM group(P<0.05).The main death causes were the pump failure and ventricle tremble.Early diagnosis and timely treatment were useful for reducing the death rate.Conclusion: The Diabetes Mellitus patients combined with AMI normally have atypical signs,mostly analgesic AMI;they also have a preference to severe arrhythmia,heart failure and shock with higher death rate.The measures to alleviate complications such as timely treatment,controlling blood pressure and blood glucose are beneficial to reducing the death rate.