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目的观察低血糖诱发心律失常的特点,探讨其诊疗特点。方法分析观察38例低血糖合并心律失常患者的临床特点,所有患者均经过电脑快速末梢血糖检测及即刻静脉随机血糖测定,血糖均低于3.9 mmol/L,最低血糖达1.0 mmol/L;就诊时有明确糖尿病史22例。结果窦性心动过速及室上性心动过速共19例,室性早搏13例,房性早搏6例,心房颤动1例,伴有ST-T改变10例,纠正低血糖后心律失常亦纠正。结论低血糖诱发心律失常可能对患者造成很大危害,因此,一方面要积极预防低血糖的发生,另一方面,低血糖患者要加强心电图的检测,避免漏诊,延误治疗。
Objective To observe the characteristics of hypoglycemia-induced arrhythmia and to explore the characteristics of its diagnosis and treatment. Methods The clinical features of 38 patients with hypoglycemia complicated with arrhythmia were observed and analyzed. All patients underwent fast peripheral blood glucose measurement and immediate venous random blood glucose measurement. The blood glucose was less than 3.9 mmol / L and the lowest blood glucose reached 1.0 mmol / L. A clear history of diabetes in 22 cases. Results There were 19 cases of sinus tachycardia and supraventricular tachycardia, 13 cases of premature ventricular contractions, 6 cases of atrial premature beat, 1 case of atrial fibrillation, 10 cases of ST-T changes and correction of arrhythmia after hypoglycemia correct. Conclusion Hypoglycemia-induced arrhythmia may cause great harm to patients. Therefore, on the one hand, we should actively prevent hypoglycemia; on the other hand, patients with hypoglycemia should strengthen the detection of ECG to avoid misdiagnosis and delay treatment.