心电图中的奥斯本波、非暴露所致体温过低以及糖尿病酮症酸中毒导致的死亡。
Osborn waves in the electrocardiogram, hypothermia not due to exposure, and death due to diabetic ketoacidosis.
作者信息
Sheikh Abdul M, Hurst J Willis
机构信息
Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
出版信息
Clin Cardiol. 2003 Dec;26(12):555-60. doi: 10.1002/clc.4960261203.
Hypothermia usually occurs because a patient has been exposed to a cold environment; however, a number of nonenvironmental conditions may produce hypothermia. This report relates the clinical course of a patient whose hypothermia was due to severe diabetic ketoacidosis. In addition, we review the causes of hypothermia and Osborn waves beyond exposure to cold temperature. Hypothermia due to diabetic ketoacidosis is an uncommon complication of a common disease that carries with it clinically significant consequences. Accordingly, we believe that all clinicians should be aware of this potential complication of diabetic ketoacidosis and should be able to recognize the importance of the electrocardiogram in such patients.
体温过低通常是由于患者暴露于寒冷环境中所致；然而，一些非环境因素也可能导致体温过低。本报告讲述了一名因严重糖尿病酮症酸中毒而出现体温过低的患者的临床病程。此外，我们还回顾了除暴露于低温环境之外导致体温过低和奥斯本波的原因。糖尿病酮症酸中毒所致的体温过低是一种常见疾病的不常见并发症，会带来具有临床意义的后果。因此，我们认为所有临床医生都应意识到糖尿病酮症酸中毒的这种潜在并发症，并应能够认识到心电图在此类患者中的重要性。
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