糖尿病合并急性心肌梗死的临床分析 |
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引用本文: | 蒙绪宁,黄从新,王风,刘伶.糖尿病合并急性心肌梗死的临床分析[J].中国医学文摘:老年医学,2007,16(1):20-21. |
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作者姓名: | 蒙绪宁 黄从新 王风 刘伶 |
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作者单位: | 武汉大学人民医院,武汉430060 |
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摘 要: | 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。
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关 键 词: | 心肌梗死 糖尿病 |
Clinical analysis of cases with diabetes mellitus complicated with acute myocardial infarction |
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Authors: | MENG Xu - ning HUANG Gong - xin WANG Feng LIU Ling |
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Institution: | MENG Xu-ning HUANG Cong-xin WANG Feng LIU Ling |
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Abstract: | 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. |
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Keywords: | Myocardial infarction Diabetes mellitus |
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