胰腺癌与糖代谢紊乱关系密切,并可因此而造成误诊,现报道1例。1 病例资料 患者,女,66岁。因发现糖尿病10个月,上腹疼痛8个月入院。患者10个月前体检空腹血糖7.6 mmol/L,餐后2 h血糖12.1mmol/L,无多饮、多尿、消瘦等症状,诊为Ⅱ型糖尿病,予优降糖、二甲双胍治疗。2个月后渐出现上腹部疼痛,胃镜检查显示:(1)全胃炎伴糜烂出血,(2)食道中段静脉 Pancreatic cancer and glucose metabolism disorders are closely related and may result in misdiagnosis, is reported in 1 case. 1 case information patients, female, 66 years old. Because of diabetes for 10 months, abdominal pain was admitted to hospital for 8 months. Patients 10 months ago, fasting blood glucose 7.6 mmol / L, 2 h postprandial blood glucose 12.1mmol / L, no polydipsia, polyuria, weight loss and other symptoms, diagnosed as type II diabetes, to glyburide, metformin treatment. 2 months later appeared in the upper abdominal pain, gastroscopy showed: (1) gastritis with erosion bleeding, (2) the middle esophageal vein