高龄糖尿病患者合并急性心肌梗死临床分析

目的 探讨高龄DM并发AMI患者的临床特点及预后。方法 选资料完整的46例高龄DM合并AMI患者与非糖尿病性AMI患者46例作对照分析。结果 高龄DM并发AMI组无痛性心肌梗死、并发症、心肌损伤程度、ST段恢复等电位时间及死亡率明显高于非糖尿病性AMI组,两组差异有显著性(P<0.05)。结论 AMI使亚临床型DM加重,出现临床症状;DM加重冠状动脉的粥样硬化改变,引起以及的微血管病变,促进AMI的发生。

Clinical Analyze of Old Diabetes Mellitus Merging With Acute Myocardial Infarction

Objective To explore the clinical properties and the prognoses of the patients with old diabetes mellitus (DM) merging with acute myocardial infarction (AMI). Methods 46 cases of old DM merging with AMI with the intergrated clinical materical were studied, while 46 cases with non_diabetes mellitus AMI as a control group. Results The results showed that the painless myocardial infarction, the complication, the injured degree of myocardium, the equal voltage time of S - T recovery and the mortality rate were higher in the old DM + AMI group than those in the group of non - diabetes mellitus AMI with a high statistical significance (P <0. 05) . Conclusion AMI made sub -clinical DM worse and brough about clinical symptom. DM made the coronary atherosclerotic change seriouSs, gave rise to microvascular lesion of the heart and led to AMI.