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lao nian xing tang niao bing bing fa ji xing xin ji geng sai de lin chuang te dian fen xi
Author(s): 
Pages: 5-7
Year: Issue:  4
Journal: THE MEDICAL JOURNAL OF INDUSTRIAL ENTERPRISE

Keyword:  糖尿病心肌梗死老年人急性临床表现;
Abstract: 目的:探讨老年Ⅱ型糖尿病(2-DM)并发急性心肌梗死(AMI)的临床特点及诊治.方法:采用临床对比方法对60例老年2-DM并发AMI进行回顾性分析,以同期收治的老年非糖尿病(NDM)并发AMI62例作对照.结果:2-DM患者无痛性心肌梗死、恶性心律失常、急性左心衰的发生率显著高于NDM组,分别为41.67%与16.13%,56.67%与29.03%,36.67%与9.68%(P<0.01);病死率DM组(20%)明显高于NDM组(6.45%)(P<0.05).主要死亡原因为:泵衰竭、心跳骤停、多脏器衰竭.结论:老年2-DM并发AMI症状不典型,病情重,并发症多,死亡率高,认识其特点有助于本病的处理.
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