目的探讨妊娠期暴发性1型糖尿病的临床特点、诱因和对母儿的影响。方法结合苏州市立医院收治的1例暴发性1型糖尿病合并死胎的临床资料,复习相关文献。结果妊娠合并暴发性1型糖尿病急性起病,发病一开始即表现为酮症或酮症酸中毒,对母儿影响极大。结论加强产前筛查,及时尽早地发现妊娠期暴发性1型糖尿病,是成功抢救的关键。 Objective To investigate the clinical features, causes and the impact on mothers and children of fulminant type 1 diabetes during pregnancy. Methods Combined with the clinical data of 1 case of fulminant type 1 diabetes mellitus and stillbirth admitted in Suzhou Municipal Hospital, the related literatures were reviewed. The results of pregnancy complicated with fulminant type 1 diabetes acute onset, the onset of the performance of ketosis or ketoacidosis, a great impact on the mother and child. Conclusion Strengthening prenatal screening and timely detection of fulminant type 1 diabetes during pregnancy is the key to successful rescue.