【摘要】目的探讨糖尿病合并细菌性肠间脓肿的临床表现、诊断和治疗要点。方法回顾性分析糖尿病并发肠间脓肿45例。结果糖尿病并发肠间脓肿多见于男性（66.7%），发生部位多在回肠、结肠间。多数为多发性。临床表现不典型，好发于血糖控制不良的2型糖尿病病人。化脓性阑尾炎、腹膜炎、肠系膜炎是主要的致病因素，细菌培养阳性率较低（35%）。诊断首选B超。经内、外科治疗，41例康复，4例死亡。此病死因主要为感染及多脏器功能衰竭。结论糖尿病合并肠间脓肿临床表现不典型，诊断较困难。对糖尿病伴有发热者应高度重视。控制血糖、及时治疗腹内感染是预防此病发生的重要措施。
【关键词】细菌性肠间脓肿；糖尿病；治疗
【Abstract】ObjectiveTodiscusstheclinicalmanifestations,diagnosisandtreatmentofdiabetesmellitus（DM）withbacterialinter-intestinalabscess.MethodsWeretrospectivelyanalysed45casesofDMwithinter-intestinalabscesses.ResultsAmongthe45cases,66.7%ofthemweremales,anddiabetesmellitus,theabscessweremultiple,waslikelytofoundintheplacethatbetweenileumandcolon.Clinicalmanifestationofthisdisorderwereatypical,andmostofthiswashappenedinthepatientsofDM（Ⅱ）thatwithbadcontrolinbloodsugar.Suppurativeappendicitis,peritonitisandmesenteritiswerethemaincausesofthisdisorder,andpositiverateofgermiculturewaslow（35%）.AbdominalB-ultrasonographywasthefirstselectedmethodinthediagnosis.41casesrecoveredaftertreatment......
