急性心肌梗塞早期血糖升高对预后的影响（附128例分析）

本文对１２８例非糖尿病急性心肌梗塞（ＡＭＩ）患者早期血糖测定结果进行了分析。结果表明，１２８例病人中，５２例（４０．６３％）有不同程度的血糖升高。高血糖组病人的病死享及急性左心衰竭、心源性休克等并发症发生率显著高于血糖正常组（Ｐ＜０．０１），同时还发现急性心肌梗塞早期血糖升高越明显，预后越差，存活者未经降血糖治疗，随病情好转血糖逐渐恢复正常，提示ＡＭＩ早期血糖升高是预测预后的重要因素。

Effect of Early Stage Hperglycemia onPrognosis of Patients with AMI (with ClinicAnalysis of 128 Cases).

he blood suger levels in 128 patients withearly stage AMI, without diabetes mellitus,were observed of thern 52 (40. 63%) had hy-perglycemia above 6 mmol/L. The mortality ofacute left heart failure and cardiac shock wasfar greater in the group with elevated bloodglucose level thanin those with normal level(P<0. 01 ). We have also discovered that thegreater the blood glucose level ,the worse theprognosis. Without hypoglycemia treatmentin those who survived frorni AMI, the bloodsuger level restored to normal. The resultshowed that the increased blood glucose levelhave an effect on predicting the prognosis of inearly stage AMI.