Fuller P J, Colman P G, Harper R W, Stockigt J R
Diabetes Care. 1982 Mar-Apr;5(2):118-21. doi: 10.2337/diacare.5.2.118.
In two patients with severe diabetic ketoacidosis, electrocardiography showed transient anterior changes suggestive of acute transmural infarction without subsequent evidence of myocardial necrosis. While the mechanism of these and other temporary electrocardiographic changes in diabetic ketoacidosis remains unclear, appreciation of their transient nature is essential if misdiagnosis of myocardial infarction and possible inappropriate delay in intravenous fluid administration are to be avoided. When electrocardiographic abnormalities are present early in diabetic ketoacidosis, the full 12-lead electrocardiogram should be repeated after adequate resuscitation.
在两名严重糖尿病酮症酸中毒患者中，心电图显示短暂的前壁改变，提示急性透壁性梗死，但随后并无心肌坏死的证据。虽然糖尿病酮症酸中毒中这些及其他暂时性心电图改变的机制尚不清楚，但如果要避免心肌梗死的误诊以及静脉补液可能出现的不适当延迟，认识到它们的短暂性至关重要。当糖尿病酮症酸中毒早期出现心电图异常时，充分复苏后应重复记录完整的12导联心电图。
