摘要
目的:探讨糖尿病并发急性心梗的临床特点。方法:收治糖尿病并发急性心梗患者56例,同时选择同期非糖尿病急性心梗组64作为对照组,对其主要症状、体征:疼痛程度、恶心呕吐、呼吸困难、两肺啰音,心电图改变,血清学指标变化进行比较。结果:两组主要症状、体征比较有统计学意义(P<0.05),心电图在两组存在差别,糖梗组中多壁病变与非糖梗组比较有统计学意义。结论:糖尿病合并心梗预后较差,其严重并发症是导致死亡的主要原因。
Objective：To investigate diabetes complicated by the clinical features of acute myocardial infarction. Methods：acute myocardial infarction patients collected in our hospital between October 2009 to April 2011,56 cases of diabetes,while the same period in non - diabetic acute myocardial infarction group 64 as the control group, the main symptoms and signs：two groups pain, nausea and vomiting, breathe difficulties, lungs rales,ECG changes, changes in serum markers were compared. Results： The two main sets of symptoms and signs： painless in the two groups, nausea, vomiting, breathe difficulties, lungs rales statistically significant P 〈 0. 05, ECG differences in the two groups, the sugar in the stem group of multi -wall lesions statistically significant compared with non - sugar stem group. Conclusions ：The diabetic patients with myocardial infarction prognosis is poor, its serious complications are the leading cause of death.
关键词
糖尿病
急性心梗
临床特点
Diabetes
Acute myocardial infarction
Clinical features
