糖尿病合并冠心病急性心肌梗死的临床特点分析

Investigate the Clinical Characteristics of Patients With Acute Myocardial Infarction Complicated Diabetes Mellitus

目的探讨糖尿病合并冠心病急性心肌梗死的临床特点。方法对2007～2008年间住我院CCU病房的207名急性心肌梗死患者进行回顾性分析。结果糖尿病合并急性心肌梗死患者发生无痛性心梗、心衰和心源性休克的比例均增高。结论糖尿病患者有较高的冠心病危险因素,糖尿病并发冠心病时,冠心病的某些临床症状出现较晚或被掩盖,应引起临床医师的重视,在工作中应注意严格控制糖尿病患者的血糖、血脂、血压等危险因素,以期能预防或推迟冠心病的发生。

Objective To study the clinical characterstics of patients with acute myocardial infarction（AMl） complicated diabetes mellitus（DM）. Methods The study was carried out by retrospective analysis of 207 patients with acute myocardial infarction in CCU ward of my hospital.Results AMI patients complicated with diabetes mellitus tended to happen as follows：Painless myocardial infarction,heart failure and Cardiogenic shock.Conclusion patients with diabetes mellitus have high risk to happen Coronary Heart Disease.When diabetes mellitus complicated by Coronary Heart Disease,Coronary Heart Disease clinical symptoms happenned later or be concealed.To prevent or delay happenning of CHD,physician should pay attention to risk factors,such as glucose,lipid,Blood pressure.