摘要
目的探讨60岁以上老年糖尿病患者合并急性心肌梗死的临床特点。方法对60岁以上39例老年糖尿病患者合并急性心肌梗死(DM-AMI)与38例非糖尿病急性心肌梗死(NDM-AMI)患者发病时状态,临床特点及相关资料进行回顾性分析。结果老年糖尿病患者合并急性心肌梗死静息状态发病高,无痛性居多,血脂紊乱多为混合型,多支病变发生率高,且严重心脏事件的总发生率均显著高于非糖尿病急性心肌梗死患者。结论老年DM患者合并AMI预后差,死亡率高。应高度重视并积极的处理。
Objective To study the clinical characters of diabetes mellitus (DM)complicated with acute myocardial infarction (AMI)in the elderly patients. Methods 39 cases of DM complicated with AMI were analyzed and compared with 38 cases of non-diabetics with AMI. Resuits DM complicated with AMI had a higher incidence in the resting and the painless. Blood lipid abnormality is mix. The morbidity rate of patients with two and multiple coronary arteries atherosclerosis was high in type 2 diabetes mellitus patients complicated with AMI. The serious heart event occur is higher than NDM complicated with AMI. Conclusion DM complicated with AMI in the elderly patients show poor prognosis and is high mortality rate. We should pay much attention and treatment.
出处
《中国现代医生》
2009年第7期60-61,共2页
China Modern Doctor
关键词
老年
糖尿病
急性心肌梗死
临床特点
Elderly
Diabetes mellitus
Acute myocardial infarction
Clinical character