摘要
作者总结21例老年糖尿病合并心肌梗塞病例,分析其发病年龄、临床表现、血清酶和肌红蛋白浓度的变化、主要死因和抢救原则;并指出:心衰、酮症、再发心肌梗塞多见,且对预后造成不良影响;体会抢救的重点是控制心衰和心律失常,处理好应激状态下的糖代谢紊乱。
A series of 21 cases of diabetes mellitus with acute myocardiac infarct(AMI)was studied.The clinical features and the significance of the level of some serumenzymes and myohemoglobin were discussed.This study also showed that heart failure,diabetic ketosis and recurrant AMI were fairly common and with poor prognoses.Itwas suggested that the principles of emergency treatment should be the treatment ofheart failure and arrhythmia and management of disturbances of carbohydrate metabo-lism during stress.
出处
《天津医药》
CAS
1990年第4期199-203,共5页
Tianjin Medical Journal