摘要:目的:比较糖尿病与非糖尿病患者并发急性心肌梗死(AMI)的临床特征及预后的异同。方法：对20例Ⅱ型糖尿病(DM)和20例非糖尿病(NDM)急性心肌梗死患者一般情况，AMI发病时临床症状、梗死部位、并发症的发生、死亡情况进行分析。结果:DM组发生无痛性心肌梗死、心律失常、急性左心衰竭及合并肺部感染、死亡率均较NDM组高(P<0.05)。结论:老年糖尿病患者并发急性心肌梗死病情严重，并发症多，病死率高。当DM发生AMI时,应早期识别,及时处理。

    关键词: 糖尿病；心肌梗死；老年

    Clinical Analysis of Aged Diabetic Patients Complicated with Acute Myocardial Infarction

    MAO Dan,CHENG Xing-bo,et al

    (The First Hospital Affiliated to Suzhou University， Jiangsu Suzhou 215001， China)

    Abstract :Objective: To comparison between aged diabetic and non-diabetic patients in clinical features of acute myocardial infarction .Method： Comparison between 20 diabetic and 20 non-diabetic patients of acute myocardial infarction in clinical features, complications, infarction sites and mortality .Result： AMI without chest pain ,acute left ventricular failure,dysrhthm, pulmonary infection and mortality in the diabetic group(DM) were significantly higher than those in the non-diabetic group(NDM).Conclusion： Aged diabetic patients complicaed with AMI were more serious and have high mortality than non-diabetic patients.we should identify definitely and treat immediately. ......