糖尿病酮症酸中毒患者心律失常发病情况分析

To analysis the ratio of cardic arrhythmia in patient with diabetic ketoacidosis

目的探讨糖尿病酮症酸中毒患者心律失常的发病特点。方法收集1型或2型糖尿病（及并发酮症酸中毒）患者200例，按其是否并发酮症酸中毒，将其分为并发酮症酸中毒组和无酮症酸中毒组，应用统计学方法分析两组病例心律失常构成比的差异。结果并发DKA糖尿病组以室上性心动过速（48．3％）和房颤（30．0％）多见，无DKA糖尿病组以室性早搏（49．3％）和房性早搏（17．1％）多见。结论并发DKA糖尿病患者以室上性心动过速和房颤多见，无DKA糖尿病患者以室性早搏和房性早搏多见。

Objective To investigate the ratio of cardic arrhythmia in patient with diabetic ketoacidosis. Methods 200 diabetic patients were divided 2 groups acorrding to diabetic ketoacidosis, including the group of diabetic ketoacidosis and the group of no diabetic ketoacidosis. Results Paroxysmal supraventricular tachycardia and atrial fibrillation are the most cardic arrhythmia in the group of diabetic ketoacidosis , the ratio of which is 48.3% and 30.0% respectively. Premature ventricullar beats and premature atrial beats are the most cardic arrhythmia in the group of no diabetic ketoacidosis , the ratio of which is 49.3% and 17.1% respectively. Conclusions There are more paroxysmal supraventricular tachycardia and atrial fibrillation in the group of diabetic ketoacidosis and more premature ventricullar beats and premature atrial beats in the group of no diabetic ketoacidosis.