目的 探讨糖尿病酮症酸中毒(diabetic ketoacidosis
DKA)患者心电图非损伤性ST抬高的临床价值。方法 对5例心电图呈非损伤性ST抬高的DKA患者的心电图及临床特点进行分析。结果 5例中3例为年轻男性1型糖尿病患者,5例患者血钾正常或轻度升高,心电图全部呈早复极模式改变,不同于严重高血钾的心电图特点,5例患者经降糖、纠正酸碱、水、电解质平衡后ST恢复至正常。结论 非损伤性ST抬高可能为代谢性酸中毒或其他DKA特有的代谢异常引起,尽管绝大多数的早复极模式心电图均为良性临床表现,但J波和ST抬高的导联分布广泛时,发生恶性心律失常的风险增加,因此,DKA患者非损伤性ST抬高应引起临床的高度重视。
目的 探讨糖尿病酮症酸中毒(diabetic ketoacidosis
DKA)患者心电图非损伤性ST抬高的临床价值。方法 对5例心电图呈非损伤性ST抬高的DKA患者的心电图及临床特点进行分析。结果 5例中3例为年轻男性1型糖尿病患者,5例患者血钾正常或轻度升高,心电图全部呈早复极模式改变,不同于严重高血钾的心电图特点,5例患者经降糖、纠正酸碱、水、电解质平衡后ST恢复至正常。结论 非损伤性ST抬高可能为代谢性酸中毒或其他DKA特有的代谢异常引起,尽管绝大多数的早复极模式心电图均为良性临床表现,但J波和ST抬高的导联分布广泛时,发生恶性心律失常的风险增加,因此,DKA患者非损伤性ST抬高应引起临床的高度重视。
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