糖尿病合并急性心肌梗塞——附100例临床分析

Diabetes complicated with acute myocardial infarction:Analysis of 100 cases

本文对糖尿病组和非糖尿病组急性心肌梗塞的临床表现、并发症与预后作对比分析,显示糖尿病组临床为无痛型多、症状体征多样化和复发化、并发症多等特点;糖尿病组与非糖尿病组相比较,并发症中泵衰竭差异显著,而严重心律失常无明显差异。糖尿病组病死率为非糖尿病组2.14倍,而女性则为对照组的6倍。对影响预后因素分析,糖尿病组合并泵衰竭时死亡率高,提示泵衰竭是预后不良的信号。在死亡病人中,两组血清酶,血沉峰值均无显著差异;但糖尿病组死亡病人血糖峰值明显高于存活病人,表明血糖浓度高低是影响预后的另一个因素。

We compared and analyzed the clinical manifesta-tions,complications and prognoses of myocardiae infarctin patients with diabetes and without diabetes.In the dia-betes group,symptoms and signs of myocardiae infarctwere varied and complicated;most patients did not haveany pain;complications were common.There was a sig-nificant difference in pump failure between diabetesgroup and mon-diabetes group but not in severe arrhyth-mia between them.The mortality rate in the diabetesgroup was 2.14 times the non-diabetes group,with thefemale patients being 6 times the control group.Factorsaffecting the prognosis were analyzed.High mortality wasseen in diabetic patients complicated with pump failure,which appeared to be a signal of poor prognosis.In pa-tients who died,there was no significant difference inserum enzymes and peak values of sedimentation ratesbetween the two groups.However,in diabetic patientswho died,the peak value of blood sugar was significantlyhigher than in those who survived,which indicated thatconcentration of blood sugar was another factor affectingthe progrosis.