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对老年人糖尿病组和非糖尿病组急性心肌梗塞的临床表现、并发症与预后作了对比分析。显示：糖尿病组临床特点为：无痛性多，症状、体征多样化、复杂化，并发症多；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的２．１４倍。糖尿病组合并泵衰竭时病死率高，在死亡病人中２组血清酶、血沉峰值均无显著差异；糖尿病组死亡病人血糖峰值明显高于存活病人。因此对糖尿病病人应严格控制血糖水平。
The clinical manifestations, complications and prognosis of elderly patients with acute myocardial infarction and non-diabetic patients were compared. The results showed that the clinical features of diabetic group were as follows: no pain, more symptoms and signs, more complications and more complications; compared with non-diabetic group, there was significant difference in pump failure in complications and no significant difference in severe arrhythmia. Mortality in diabetic patients was 2.14 times that of non-diabetic patients. Diabetes combined with pump failure mortality is high, in the death of patients in two groups of serum enzymes, ESR peak no significant difference; diabetic patients died of blood glucose was significantly higher than the survival of patients. Therefore, patients with diabetes should be strictly controlled blood sugar levels.