44 cases of diabetes ECG Analysis（44例糖尿病患者心电图分析）.docVIP

44 cases of diabetes ECG Analysis [Words] diabetes; potassium; ECG Random sample of 44 cases of patients with diabetes admitted to hospital when the ECG, admission ECG ST-TU change nine cases, T wave sharp, two limbs was symmetrical, the base narrower kind of change in 2 cases, accounting for 25%. 1 Materials and Methods 1.1 General Information 44 cases, 27 males and 17 females; aged 45 to 79 years old; have a history of diabetes, including 13 patients with hypertension, nine patients on admission ECG ST-segment depression, T wave flat, U wave ( gt; 1/2T wave), or ST-TU blending into “slides shape. patients with premature ventricular contractions, two cases of T-wave sharp, two limbs was symmetrical, the base is narrow (history of diabetesgt; 5 years). Performance have varying degrees of chest tightness, heart palpitations, fatigue, blood serum electrolytes K + at 2.9 to 6.2mmol / L. 1.2 Treatment General treatment including effective publicity and education, diet control, weight loss in overweight, develop a personal exercise program, physical activity and intensity vary from person to oral hypoglycemic drugs or subcutaneous supplemental insulin to control blood sugar, and hypertension plus angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blocker (ARB), to control blood pressure less than 130 / 80mmHg .9 cases electrocardiogram had ST-TU changes, check the blood K + at 2.6 to 3.6mmol / L, plus use of oral or intravenous potassium .2 cases of T-wave sharp, two limbs was symmetrical, narrower base of patients, blood K + 5.8 ~ 6.2mmol / L, and the addition of insulin and of NaHCO3. 2 Results 3 days of treatment, 11 patients, chest tightness, palpitations, fatigue symptoms improved and disappeared. ECG ST-TU depress improve resume normal U wave, T wave sharp, double-limb symmetry base narrower resume normal T wave, review of blood K + The other 33 patients with symptomatic treatment, clinical symptoms were improved in