糖尿病合并急性心肌梗死的临床表现和治疗

目的探讨糖尿病合并急性心肌梗死的临床特点和治疗。方法回顾分析糖尿病合并急性心肌梗死48例与非糖尿病急性心肌梗死46例的临床表现、并发症及病死率并进行比较。结果DM组无痛性心梗、并发症(心力衰竭、心源性休克)及住院病死率显著高于NDM组,P<0.01,死因主要是心力衰竭和心脏骤停。结论糖尿病合并急性心肌梗死患者的症状不典型,无痛性梗死多、并发症及病死率高,预后差。积极控制血糖,纠正心力衰竭和心源性休克,是降低病死率,改善预后的关键。

Clinical Characteristics and Treatment of the Diabetes with Acute Myocardial Infarction

Objective To do research on clinical characteristics and treatment of the diabetes with acute myocardial infarction.Methods Reviewing,analysing and comparing the clinical manifesaion,the complication and the death rate between 48 patients with direct diabetes acute myocardial infarction(DM) and those of 46 patients of non diabetes acute myocardial infarction(NDM).Results Group DM showed painlessness with complications,for example,heart faiure or cardiogenic shock.The death of the group in hospital was obviously higher than that of Group NDM,P<0.01;the main cause to the death was mostly heart failure or a sudden stop of heart.Conclusion The symptom of the patients with DM not being typical,usually painless with high rate or complicate and death,and the prognosis unfavorable.Acticely controlling and correcting heart failure and cardiogenic shock is the key to lower the death rate and improve prognosis.