急性心肌梗死合并糖尿病的临床特点观察

The Observation of Clinical Features About Acute Myocardial Infarction Combine Diabetes Mellitus

目的观察并分析AMI(急性心肌梗死)合并DM(糖尿病)的主要临床特点。方法选取2008年3月至2013年3月收治的80例AMI并DM患者(研究组)以及80例AMI患者(对照组),对研究组患者积极治疗,并对比两组临床特征、并发症情况、死亡情况,以及血脂、血糖和CK-MB、AST与LDH几项指标的监测水平。结果研究组出现呼吸困难、血压降低、意识异常以及肺部湿啰音等症状的概率均更高;并发症发生率和病死率均更高;研究组血脂和血糖异常情况均更明显,且CK-MB、AST与LDH水平均显著要高(P<0.05)。结论应根据AMI并DM后的主要临床特点,及早对AMI并DM患者进行诊治,以降低临床病死率。

Objective To observe and analyse the clinical features about AMI（acute myocardial infarction）combine DM（diabetes mellitus）. Methods 80 cases of patients with AMI and DM（the research group）and 80 cases of patients with AMI（the control group）were selected from March 2008 to March 2013, the patients of the research group were cured actively, and compared the clinical features, complications, deaths and the level of blood lipids、blood glucose and CK-MB, AST and LDH. Results The incidence of symptoms of difficulty breathing, lower blood pressure, abnormal lung wet rale and consciousness of the research group were all higher, and the incidence of complications and mortality of the research group were higher, the abnormal situation of blood fat and blood sugar of the research group were all more apparent, and the level of CK-MB, AST, LDH of the research group were higher（P＆lt;0.05）. Conclusion The clinical should make a diagnosis and give treatment in patients with AMI combine DM according to the main clinical characteristics of AMI combine DM as soon as possible, in order to reduce the clinical mortality.