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47例Ⅱ型糖尿病和47例非糖尿病患者急性心肌梗塞(AMI)后梗塞延伸(IMEXT)的发生情况表明:Ⅱ型糖尿病患者IMEXT发生率明显高于非糖尿病患者(P<0.05);而性别之间无显著性差异(P>0.05)。Ⅱ型糖尿病是AMI后易发生IMEXT的高危因素;高血压、低HDL-C和交感兴奋是Ⅱ型糖尿病患者IMEXT的促发因素;IMEXT是Ⅱ型糖尿病患者AMI后早期死亡率高的主要原因。
The incidence of infarction extension (IMEXT) in 47 type Ⅱ diabetic patients and 47 non-diabetic patients with acute myocardial infarction (AMI) showed that the incidence of IMEXT in type Ⅱ diabetic patients was significantly higher than that in non-diabetic patients (P <0.05) No significant gender differences (P> 0.05). Type 2 diabetes mellitus is a risk factor for developing IMEXT after AMI. Hypertension, low HDL-C and sympathetic excitation are the contributing factors of IMEXT in type 2 diabetic patients. IMEXT is the major cause of early mortality after AMI in type 2 diabetic patients.