摘要
目的 :分析 2型DM患者并发急性心肌梗死 (AMI)的临床表现特点 ,并探讨其机制。方法 :对符合诊断的 89例患者按ECG类型、临床表现分组 ,分析其发生率。结果 :全组 89例 ,症状不典型者 73 0 3 % ;症状不典型者发生率在非Q波组、无变化组分别为 80 %、88 2 4% ,均与Q波组显著差异 (χ2 =11 14 ,P <0 0 0 5 ;χ2 =16 5 4,P <0 0 0 5 ) ;非Q波组、无变化组症状不典型者发生率无差异。结论 :2型DM并发AMI ,临床症状不典型 ,ECG不典型。
Objective To analyse the clinical features of type 2 diabetes mellitus(DM) complicated with acute myocardial infarction(AMI) and probe into its mechanism.Methods Eighty-nine cases of patients were divided into groups according to the ECG types and clinical manifestation and the incidence was analysed .Results Of the 89 cases, 73 03% had no typical symtom.The incidences of nontypical symtom in no-Q-wave group and unchangeable group were 80% and 88.24% respectively,obviously different from those of in Q-wave group(X 2=11 14,P<0.005;X 2=16.54,P<0 005).There was no difference in incidence of nontypical symtom between no-Q-wave group and unchangeable group.Conclusion Patients with type 2 DM complicated with AMI have no typical clinical symtom and ECG.
出处
《河南诊断与治疗杂志》
2002年第4期242-243,共2页
Henan Journal of Diagnosis and Therapy
