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目的分析老年糖尿病合并急性心肌梗死的临床特点。方法 40例糖尿病合并急性心肌梗死老年患者作为研究组,同期40例非糖尿病合并急性心肌梗死老年患者作为对照组,对比两组临床表现、冠状动脉病变情况以及住院并发症和病死率。结果研究组非典型胸痛、心力衰竭、胃肠道不适、神志障碍发生率高于对照组,三支病变和弥漫性病变发生率高于对照组,并发症及死亡率高于对照组,两组比较差异均具有统计学意义(P<0.05)。结论老年糖尿病合并急性心肌梗死发病急且并发症多,病死率高,应尽早诊治。
Objective To analyze the clinical features of elderly diabetic patients with acute myocardial infarction. Methods Forty elder patients with diabetes mellitus and acute myocardial infarction were included in the study. Forty elder patients with non-diabetic acute myocardial infarction were enrolled as the control group. The clinical manifestations, coronary lesion, hospitalization complications and mortality were compared between the two groups. Results The study group atypical chest pain, heart failure, gastrointestinal discomfort, the incidence of psychiatric disorders than the control group, the incidence of three lesions and diffuse lesions was higher than the control group, complications and mortality was higher than the control group, two groups The differences were statistically significant (P <0.05). Conclusion The incidence of acute diabetes mellitus complicated with acute myocardial infarction is acute and has many complications and high mortality. Diagnosis and treatment should be done as soon as possible.