Campbell I W, Duncan L J, CLarke B F
Br Heart J. 1977 Jan;39(1):110-2. doi: 10.1136/hrt.39.1.110.
A 25-year-old insulin-dependent diabetic man who was admitted to hospital with severe diabetic ketoacidosis and dehydration showed sequential electrocardiographic abnormalities of acute pericarditis. Though the patient had retrosternal chest pain, no pericardial friction rub was heard. None of the usual causes of pericarditis was found and the electrocardiographic abnormality may have been attributable to subepicardial injury caused by dehydration associated with the ketoacidosis. The abnormalities on the electrocardiogram were transient, returning to normal after 5 days. Whatever the exact underlying nature of the pericarditis, it is important to recognise that such transient changes may occur as, in the absence of other obvious causes of pericarditis, the condition is benign.
一名25岁的胰岛素依赖型糖尿病男性因严重糖尿病酮症酸中毒和脱水入院，其心电图显示出急性心包炎的一系列异常。尽管患者有胸骨后胸痛，但未闻及心包摩擦音。未发现常见的心包炎病因，心电图异常可能归因于与酮症酸中毒相关的脱水引起的心外膜下损伤。心电图异常是短暂的，5天后恢复正常。无论心包炎的确切潜在性质如何，认识到可能会出现这种短暂变化很重要，因为在没有其他明显心包炎病因的情况下，这种情况是良性的。
