【摘要】对临床表现不典型或隐性CHD患者,早期确定高危人群至关重要;对伴有周围动脉疾病、高血压、血脂异常以及有吸烟嗜好的患者,运动试验和超声心动图是首选无创性检查,阳性病例应行CAG检查;对左冠状动脉明显狭窄或三支冠状动脉的病变,只要DM情况允许,应积极采取冠状动脉成形或旁路移植手术,以降低CHD的死亡率。2型DM伴发CHD,一经确诊,即应接受全方位治疗,包括心血管方面和代谢方面,有望改善该类患者的长期生存状况。

    【关键词】糖尿病;冠心病;进展

    Diabetes concurrent coronary disease’s research development

    Wei Rongyou Dong Yuekui

    【Abstract】To the clinical manifestation not model or the recessive CHD patient, the early determination high-risk group is very important; To being accompanied by around artery disease, hypertension, the blood fats exceptionally as well as have the smoking hobby patient, the motion testing and the echocardiogram are the first choice not create the inspection, the masculine case ought to do the CAG inspection; To left coronary artery obvious narrow or three coronary artery’s pathological change, so long as the DM situation permission, should adopt the coronary artery forming or the bypass transplant operation positively, reduces CHD the mortality rate. 2 DM partners send CHD, as soon as passes through the diagnosis, namely should accept the omni-directional treatment, including the cardiovascular aspect and metabolism aspect, improves this kind of patient’s long-term survival condition hopefully. ......