论文部分内容阅读
目的 探讨糖尿病 (DM)合并急性心肌梗死 (AMI)的临床特点及预后。方法 回顾性分析 2 2 6例AMI患者的临床资料 ,比较DM并AMI(DM组 )和非DM的AMI(非DM组 )患者的临床特点和预后。结果 DM组发生多部位梗死明显多于非DM组 (P <0 .0 5 ) ,DM组患者无痛性AMI发生率高 (占 32 .6 % ) ,DM组发生AMI时并发症及病死率明显高于非DM组 (P <0 .0 5 ) ,主要死亡原因为泵衰竭、室颤。早期溶栓治疗病死率降低。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、感染等并发症 ,病死率高。及时治疗 ,积极控制血压、血脂、血糖 ,及早进行溶栓治疗或PTCA ,以减少并发症 ,降低病死率。
Objective To investigate the clinical features and prognosis of diabetic mellitus (DM) complicated with acute myocardial infarction (AMI). Methods The clinical data of 226 patients with AMI were retrospectively analyzed. The clinical features and prognosis of patients with DM and AMI (DM group) and non-DM AMI (DM group) were compared. Results The incidence of multi-site infarction in DM group was significantly higher than that in non-DM group (P <0.05). The incidence of painless AMI in DM group was high (32.6%). The complications and mortality Significantly higher than non-DM group (P <0.05), the main cause of death for pump failure, ventricular fibrillation. Early thrombolytic therapy to reduce mortality. Conclusion The clinical symptoms of patients with DM combined with AMI are not typical, with painless and common, prone to serious arrhythmia, heart failure, shock, infection and other complications, high mortality. Timely treatment, and actively control blood pressure, blood lipids, blood glucose, thrombolytic therapy or PTCA as soon as possible to reduce complications and reduce mortality.