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目的探讨急性心肌梗死合并糖尿病的临床特点和治疗。方法对96例急性心肌梗死合并糖尿病与92例非糖尿病的急性心肌梗死临床资料,进行对比分析临床症状、合并症、病死率和住院后血糖、心肌酶、梗死部位进行比较。结果糖尿病组无痛性心肌梗死,并发症(心力衰竭、心源性休克)及住院病死率显著高于非糖尿病组,P<0.01。死因主要是心力衰竭和心脏骤停。结论急性心肌梗死合并糖尿病的症状不典型,无痛性梗死多,并发症及病死率高,预后差。积极控制血糖,纠正心力衰竭和心源性休克,对减低死亡率有重要的意义。
Objective To investigate the clinical features and treatment of acute myocardial infarction with diabetes mellitus. Methods 96 cases of acute myocardial infarction with diabetes mellitus and 92 cases of non-diabetic patients with acute myocardial infarction clinical data, comparative analysis of clinical symptoms, comorbidities, mortality and hospital blood glucose, myocardial enzymes, infarct sites were compared. Results Painless myocardial infarction, complications (heart failure, cardiogenic shock) and hospital mortality in diabetic group were significantly higher than those in non-diabetic group (P <0.01). The cause of death is mainly heart failure and cardiac arrest. Conclusions Acute myocardial infarction with atypia of diabetes mellitus, more painless infarction, complications and high mortality, the prognosis is poor. Positive control of blood glucose, heart failure and cardiogenic shock correction, to reduce mortality is of great significance.