【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】 Objective To discuss the clinical manifestations, diagnosis and treatment of diabetes mellitus(DM)with bacterial inter-intestinal abscess.Methods We retrospectively analysed 45 cases of DM with inter-intestinal abscesses.Results Among the 45 cases, 66.7% of them were males, and diabetes mellitus,the abscess were multiple, was likely to found in the place that between ileum and colon. Clinical manifestation of this disorder were atypical, and most of this was happened in the patients of DM(Ⅱ) that with bad control in blood sugar. Suppurative appendicitis, peritonitis and mesenteritis were the main causes of this disorder, and positive rate of germiculture was low(35%).Abdominal B-ultrasonography was the first selected method in the diagnosis. 41 cases recovered after treatment ......