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对本院近7年收入CCU的320例心肌梗死(AMI)患者进行了观察,按(1)CK-MB和(或)CPK复升;(2)心电图ST段再次抬高及出现新的病理性Q波或原有Q波加深伴R波降低;(3)临床症状恶化等3项中2项作为梗死区延伸(IExt)的临床诊断标准。糖尿病组56例中共检出IExt17例(30.36%),无糖尿病组264例中检出IExt24例(9.1%),差异显著。糖尿病AMI并发IExt较多与其冠脉病变范围及严重程度发展有关,糖尿病的微血管病变、心肌对缺血的代谢调节障碍以及血小板聚集性、粘附性增高均与之有重要关系。
320 patients with myocardial infarction (AMI) who received CCU for nearly seven years in our hospital were observed as (1) CK-MB and / or CPK ascended; (2) ST segment elevation and new pathology Sexual Q wave or the original Q wave deepening with R wave reduction; (3) two of the three clinical symptoms worsen as the clinical diagnostic criteria of infarct extension (IExt). Among 56 cases of diabetes mellitus, 17 cases of IExt were detected (30.36%), 24 cases of IExt were found in 264 cases of non-diabetic group (9.1%), the difference was significant. Diabetes mellitus complicated with IExt more associated with the extent and severity of coronary lesions related to the development of microvascular disease of diabetes, myocardial metabolic regulation of ischemia and platelet aggregation, increased adhesion are associated with it.