糖尿病时合并心脏病,主要有心肌梗塞和糖尿病性心肌病(DMC)。前者不仅病例数多,而且常有无痛性发作并易致心力衰竭的特点。对其进行多种检查,无论有无糖尿病,但梗塞本身坏死的病理表现都是相同的。引起冠脉循环障碍的原因尚有很多疑点,其中搞清糖尿病对其有何影响,在治疗上有重要的意义。DMC 的冠状动脉虽无明显狭窄,但其末端已存在微循环障碍(后述),最近受到重视,在病理上进行了很多研究。所以想对这两种心脏病从冠脉主干与末梢的血流障碍上进行叙述。一、心肌梗塞本文省略了糖尿病与非糖尿病患者的心肌梗塞发生率及死亡率的年龄组及临床表现的对比。1.冠脉循环障碍的成因 Diabetes with heart disease, mainly myocardial infarction and diabetic cardiomyopathy (DMC). The former is not only the number of cases, and often painless attack and easy to cause heart failure characteristics. To carry out a variety of tests, regardless of whether there is diabetes, but the pathological manifestations of infarction itself is the same. There are many doubts about the cause of coronary circulation disorder, and it is of great significance to find out the impact of diabetes on it. DMC coronary artery although there is no obvious stenosis, but the end of the microcirculation has been the existence of obstacles (described later), recently received attention, a lot of pathological studies. So I would like to describe these two kinds of heart disease from the coronary artery and peripheral blood flow disorders. First, myocardial infarction This article omitted the diabetes and non-diabetic patients with myocardial infarction incidence and mortality of the age group and clinical manifestations of the comparison. Cause of coronary circulation disorder