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分析了42例糖尿病并急性心肌梗塞的临床资料。42例AMI者均为Ⅱ型糖尿病;糖尿病病程与梗塞面积及死亡率呈正相关;梗塞部位多见于前壁、前间壁、广泛前壁,以左前降支病变为主。无痛性及不典型性心肌梗塞主要与心脏传入神经受损有关。糖尿病合并AMI病死率明显高于非糖尿病性AMI。且死亡原因以心力衰竭为主。
The clinical data of 42 patients with diabetes mellitus and acute myocardial infarction were analyzed. 42 cases of AMI were type II diabetes; duration of diabetes and infarction area and mortality were positively correlated; infarction more common in the anterior wall, anterior wall, extensive anterior wall, left anterior descending artery disease. Painless and atypical myocardial infarction is mainly associated with impaired cardiac afferent nerve. Diabetes combined AMI mortality was significantly higher than non-diabetic AMI. The main cause of death was heart failure.