【摘要】 目的探讨急性心肌梗死合并糖尿病的临床特点和治疗。方法 对96例急性心肌梗死合并糖尿病与92例非糖尿病的急性心肌梗死临床资料，进行对比分析临床症状、合并症、病死率和住院后血糖、心肌酶、梗死部位进行比较。结果 糖尿病组无痛性心肌梗死，并发症(心力衰竭、心源性休克)及住院病死率显著高于非糖尿病组，P<0.01。死因主要是心力衰竭和心脏骤停。结论 急性心肌梗死合并糖尿病的症状不典型，无痛性梗死多，并发症及病死率高，预后差。积极控制血糖，纠正心力衰竭和心源性休克，对减低死亡率有重要的意义。

    【关键词】 急性心肌梗死；糖尿病；临床特点

    The clinical features of acute myocardial infarction with diabetes mellitus

    TAN Hai-tao，OU Jia-man，YANG Yi-you，et al.Department of Medicine,Yangjiang People's Hospital ,Guangdong Province 529500，China

    【Abstract】 Objective To investigate the clinical features and treatment of acute myocardial infarction with diabetes mellitus.Methods 96 cases of acute myocardial infarction with diabetes mellitus and 92 cases of non-diabetic acute myocardial infarction a comparative analysis of clinical data, clinical symptoms, complications, mortality and hospitalization after the blood sugar, enzymes, site of infarction were compared.Results Diabetic group of painless myocardial infarction, complications (heart failure, cardiogenic shock) and hospital mortality was significantly higher than non-diabetic group, P<0.01.The main cause of death are heart failure and cardiac arrest.Conclusion Acute myocardial infarction with diabetes symptoms are not typical, painless infarction many complications and high fatality rate and poor prognosis.Positive control of blood sugar, heart failure and corrective cardiogenic shock, to reduce mortality has important significance. ......