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目的 :研究糖尿病并发急性心肌梗死 (AMI)溶栓治疗冠状动脉完全开通后的近期预后。方法 :对 2 1例糖尿病并发 AMI溶栓后 ,急诊冠状动脉造影显示梗死冠状动脉开通者的冠状动脉造影结果进行分析 ,并于梗死后 3～ 4周内行核素心室造影和 2 4h动态心电图检查 ,观察心功能、心肌缺血和心律失常的情况 ,且随访梗死后 3～ 5周内心绞痛等并发症的发生率 ,并与 37例非糖尿病 AMI溶栓后冠状动脉开通者进行比较。结果 :与非糖尿病组相比 ,糖尿病组冠状动脉的残余狭窄较重 ,冠状动脉病变积分较高 ;梗死后近期左室功能较差 ,心肌缺血的发生率较高。结论 :糖尿病并发 AMI溶栓后冠状动脉开通者冠状动脉病变仍然较重 ,近期预后较差
Objective: To study the short-term prognosis of diabetic patients with acute myocardial infarction (AMI) thrombolytic therapy after complete coronary artery opening. Methods: Twenty-one cases of diabetes mellitus complicated with AMI thrombolysis were analyzed by emergency coronary angiography in coronary angiography. Angiography and 24 h dynamic electrocardiogram were performed within 3 to 4 weeks after infarction. , Observed cardiac function, myocardial ischemia and arrhythmia, and follow-up of 3 to 5 weeks after infarction angina pectoris and other complications, and 37 cases of non-diabetic AMI after thrombolytic coronary artery opener were compared. Results: Compared with non-diabetic group, the residual stenosis of coronary artery in diabetic group was severe and the coronary artery disease score was higher. The left ventricular function was worse and the incidence of myocardial ischemia was higher after infarction. Conclusions: Coronary artery lesions in patients with coronary artery occlusion after AMI thrombolysis with diabetes mellitus are still relatively severe with poor prognosis in the near future