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中山医科大学附一院内科自1972年8月～1988年2月收治糖尿病合并AMI31例(男17,女14),平均年龄65岁,均为Ⅱ型糖尿病。 糖尿病合并AMI的临床特点:1、无痛性AMI多,本组占41.9％。可能与糖尿病人的植物神经受损、心脏痛觉传入神经病变有关;2、泵衰竭发生率高,本组占58.1％。可能AMI前已有糖尿病性心肌病或心功能不全状态,一旦发生AMI后,容易造成泵衰竭;3、代谢性酸中毒发生多,本组占41.9％。此与糖尿病性肾病变或(和)肾
Affiliated Hospital of Zhongshan Medical University, Department of Internal Medicine since August 1972 ~ February 1988 admitted to diabetes with AMI31 cases (male 17, female 14), mean age 65 years, are type II diabetes. Clinical features of AMI with diabetes mellitus: 1, AMI more painless, the group accounted for 41.9%. May be associated with impaired autonomic nerve damage in patients with diabetes, heart pain, afferent neuropathy; 2, the high incidence of pump failure, the group accounted for 58.1%. May have AMI before diabetic cardiomyopathy or cardiac insufficiency, once the occurrence of AMI, easily lead to pump failure; 3, metabolic acidosis occurred more, the group accounted for 41.9%. This is associated with diabetic nephropathy or (and) kidney