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目的探讨2型糖尿病临床特点。方法对本院1999年7月——2008年7月内科、急诊科2型糖尿病并心肌梗死病人共102例的临床资料进行回顾性分析。结果102例中:以典型胸骨后疼痛或胸闷为首发症状者占56%(56/102),以呼吸困难、咳嗽为首发症状者占12%(12/102),以恶心、呕吐、纳差为首发症状者占10%(10/102),以心悸为首发症状者占2%(2/102),以下肢浮肿为首发症状者占2%(/2102),以晕厥为首发症状者占1%(1/102),猝死者占1%,无明显症状者占16%(/16102),以上腹痛、左肩痛、颈部痛、下颌痛、牙痛、鼻尖痛为首发症状者共占6%;。结论2型糖尿病并急性心肌梗死首发症状表现常不典型,病情重,并发症多,死亡率高;早发现,合理治疗是减少并发症、降低死亡率的关键。
Objective To investigate the clinical features of type 2 diabetes. Methods The clinical data of 102 patients with type 2 diabetes mellitus and myocardial infarction in our department from July 1999 to July 2008 in our hospital were analyzed retrospectively. Results Of the 102 cases, 56% (56/102) had typical chest pain or chest tightness, 12% (12/102) had dyspnea and cough as the first symptom, with nausea, vomiting and anorexia The first symptom accounted for 10% (10/102), palpitations as the first symptom accounted for 2% (2/102), the lower extremity edema as the first symptom accounted for 2% (/ 2102), to syncope as the first symptom accounted for 1% (1/102), sudden death accounted for 1%, no obvious symptoms accounted for 16% (/ 16102), the above abdominal pain, left shoulder pain, neck pain, jaw pain, toothache, nasal pain as the first symptom accounted for 6 % ;. Conclusions The first symptom of type 2 diabetes mellitus and acute myocardial infarction is often atypical, with severe illness, multiple complications and high mortality rate. Early detection and rational treatment are the keys to reduce complications and reduce mortality.