摘要
目的 :分析探讨糖尿病合并急性心肌梗死的临床特征及其预后 ,方法 :对 46例糖尿病合并 AMI和47例无糖尿病合并 AMI的主要症状、体征 ,合并症和死亡率相比较 ,结果 :糖尿病组胸痛的发生率较无糖尿病组的低。而糖尿病组中出现心力衰竭、心源性休克、肺部感染和死亡率较无糖尿病组明显增多 (P〈0 .0 5 )。结论 :糖尿病合并 AMI临床症状不典型 ,合并症多 ,预后较差 ,控制血糖水平 ,治疗心力衰竭和心源性休克是降低病死率 ,改善预后的关键。
Objective:To study the clinical manifestation and short term prognosis of diabetes mellitus with myocardial infarction(AMI) Methods:the study was carried out by case control analysis of the main symptom,complication and mortality rate in 46 cases of diabetes mellitus with AMI and 47 cases of AMI without diabetes mellitus Results:The incidence of chest pain are lower in the diabetes memllitus group than in the AMI without diabetes mellitus group,while heart failure,cardiogenic shock,pulmonary infection and mortality rate are significantly higher in the diabetes mellitus group than in no diabetes mellitus group(P<0 05) Conclusion:diabetes mellitus with AMI has a typical manifestion and more serious complications and poor prognosis Effectve controlling blood glucose and managing heart failure and cardiogenic shock may play an important role in improving patient prognosis and reducing mortality rate
出处
《广西医学》
CAS
1999年第6期1096-1098,共3页
Guangxi Medical Journal
关键词
糖尿病
心肌梗死
预后
合并症
临床特征
Diabetes mellitus
Acute myocardial infarction
Prognosis
