老年糖尿病并急性心肌梗塞危险因素分析

The analysis of risk factor of 46 cases senile diabetes following acute myocardial infarction

４６例老年糖尿病合并ＡＭＩ住院病例与非糖尿病性ＡＭＩ４６例之危险因素作对比分析。结果：ＤＭ＋ＡＭＩ组患者病情重，ＡＭＩ的症状多变且无痛性多见，并发症出现早而严重，猝死发生率明显高于对照组。其原因与以下因素有关：①易出现高凝、高粘、高脂血症，加剧了心肌缺血。②易出现心衰及肺、脑、肾等脏器的衰竭，预后恶化。③饮酒吸烟，暴食作为危险因素。

The risk factors of 46 cases senile diabetes following AMI were investigated,and 46 cases diabetes without AMI were selected as control.The clinical reseach results showed:In DM+AMI group,patient's conditions were severe;their symptoms of AMI were varied and painless symptom was often;their complications occurred early and seriously;the rate of sudden death were obviously higher than that of controls.The causes were as follows:①occurred hypercogulation,hyperviscosity and hyperlipidemia easily.②occurred organ failure of the heart,the lung,the brain,the ridneys and so on easily.③drinking alcohol,smoking and eat too mueh were risk factors,these made arteriosclerosis and microvascalar lesion heavily.