对1型糖尿病酮症酸中毒误诊为肠梗阻1例分析如下。1病历摘要男,18岁。因腹痛、腹胀伴恶心、呕吐2 d于2010-09-1入院,2 d前有进食不洁食物史,1 d前出现腹痛、腹胀,伴恶心、呕吐,近2d未排气、排便。查体:急性痛苦病容,体型消瘦,四肢冰冷,呼吸急促,两肺呼吸音清,未闻及干湿性啰音,心律齐未 1 type of diabetic ketoacidosis misdiagnosed as intestinal obstruction in 1 case as follows. 1 medical record summary male, 18 years old. Due to abdominal pain, abdominal distension with nausea, vomiting 2 d admitted to hospital on September 1, 2010, 2 days before eating unclean food history, 1 d abdominal pain, abdominal distension, with nausea and vomiting, nearly 2d did not exhaust, defecation. Physical examination: acute pain, weight loss, cold limbs, shortness of breath, breath sounds clear both lungs, unheard-of wet and dry rales, Qi Qi