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本文报道糖尿病性酮症酸中毒时暂时性心电图改变14例,分别为心肌劳累5例,频发室性早搏并Q—T间期延长2例,心肌劳累并短P—R、心肌劳累并U波明显、频发室性早搏形成四联律、频发室性早搏并T—U融合、室上性心动过速、心房纤颤和Q—T间期延长各1例。认为其心电图一过性的多样的改变与糖尿病微血管病变、冠状动脉粥样硬化及血钾降低等多种因素影响有关;并指出在糖尿病性酮症酸中毒时第一个24小时连续心电图监护的临床意义。
This article reports 14 cases of diabetic ketoacidosis temporary ECG changes in 5 cases were myocardial fatigue, frequent ventricular premature beats and Q-T interval was extended in 2 cases, myocardial fatigue and short P-R, myocardial fatigue and U Waves significantly, frequent premature ventricular contractions form a tetralogy of residence, frequent ventricular premature beats and T-U fusion, supraventricular tachycardia, atrial fibrillation and Q-T interval prolongation in 1 case. He believes that a variety of transient changes in ECG and diabetic microangiopathy, coronary atherosclerosis and serum potassium and other factors related to a reduction; and pointed out that diabetic ketoacidosis during the first 24 hours of continuous ECG monitoring Clinical significance.