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急性心肌梗塞(AMI)出现血糖变化,在临床上较为常见。本文以验AMI患者空腹血糖(真糖法)做为筛选,检查AMI84例,发现有血糖升高者38例(45.2％)。进而对有血糖变化的AMI患者动态观察血糖,并做口服葡萄糖耐量试验(OGTT,75g)。对结果分析如下: 1 临床资料 1.1 年龄和性别 男23例,女15例,男女之比为1.5:1。20～40岁8例(21％),40～60岁16例(42％),60岁以上14例(37％)。 1.2 有糖尿病(DM)史8例,余30例均无DM史,但其中5例有DM家族史。 1.3 AMI诊断均符合WHO于1981年制定的诊断标准。 1.4 血糖及OGTT 除4例于48小时内死亡外,余34例均做OGTT。其中,呈DM曲线10例,葡萄糖耐量减低24例。住院第一周每日验空腹血糖,以后每2～4日复查一次。开始,空腹血糖均增高。血糖
Acute myocardial infarction (AMI) changes in blood glucose, is more common in clinical practice. In this paper, AMI patients with fasting blood glucose (true sugar method) as a screening, check the AMI84 cases, found that 38 cases of elevated blood sugar (45.2%). Further, blood glucose was dynamically observed in AMI patients with changes in blood glucose, and oral glucose tolerance test (OGTT, 75 g) was performed. The results are as follows: 1 Clinical data 1.1 age and gender male 23 cases, female 15 cases, male to female ratio of 1.5: 1.20 to 40 years in 8 cases (21%), 40 to 60 years old in 16 cases (42% 14 patients over the age of 60 (37%). 1.2 have diabetes (DM) history of 8 cases, more than 30 cases no history of DM, but 5 cases have a family history of DM. 1.3 AMI diagnosis are in line with the diagnostic criteria developed by the WHO in 1981. 1.4 blood glucose and OGTT except four cases died within 48 hours, the other 34 cases were done OGTT. Among them, DM curve was 10 cases, 24 cases of impaired glucose tolerance. The first week of hospitalization, fasting blood glucose test every 2 to 4 days after the review. Beginning, fasting blood glucose were higher. blood sugar