| 糖尿病酮症酸中毒非急性心肌梗死相关肌钙蛋白I升高二例报道 |
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| 引用本文： | 饶翀,严晔华,刘翠平. 糖尿病酮症酸中毒非急性心肌梗死相关肌钙蛋白I升高二例报道[J]. 中国糖尿病杂志, 2021, 0(3): 221-223 |
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| 作者姓名： | 饶翀 严晔华 刘翠平 |
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| 作者单位： | 北京市垂杨柳医院内分泌科 |
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| 摘 要： | 报道2例非急性心肌梗死(AMI)相关肌钙蛋白I(cTnI)升高的DKA患者。DKA是内分泌科常见急危重症,病情变化迅速,死亡率高。DKA与非AMI引起心肌损伤导致相关cTnI升高的研究较少,主要不良心血管事件发生率高,长期预后不佳。应对其鉴别以避免误诊并加强后续心脏评估。
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| 关 键 词： | 糖尿病酮症酸中毒 肌钙蛋白I 心肌损伤 |
Non acute myocardial infarction associated cardiac troponin I elevation in diabetic ketoacidosis:two cases report |
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| RAO Chong,YAN Yehua,LIU Cuiping. Non acute myocardial infarction associated cardiac troponin I elevation in diabetic ketoacidosis:two cases report[J]. Chinese Journal of Diabetes, 2021, 0(3): 221-223 |
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| Authors: | RAO Chong YAN Yehua LIU Cuiping |
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| Affiliation: | (Department of Endocrinology,Beijing Chuiyangliu Hospital,Beijing 100022,China) |
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| Abstract: | We reported two cases of positive cardiac troponin I(cTnI)in diabetic ketoacidosis(DKA)without acute myocardial infarction(AMI)in our hospital.DKA is a common acute and severe disease in the department of endocrinology.The patient’s condition changes rapidly and the mortality rate is high.Non-AMI related myocardial injury and positive c Tn I during DKA has received less attention.Elevated cTnI in diabetic patients admitted with DKA identifies a group at very high risk for major adverse cardiovascular events and poor long-term outcomes.We should pay attention to these patients to avoid missed diagnosis and delay of treatment.Further evaluation of myocardial muscle is needed. |
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| Keywords: | Diabetic ketoacidosis Cardiac troponin I Myocardial injury |
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