对重症急性胰腺炎致糖尿病酮症酸中毒合并高渗状态1例救治分析如下。1病历摘要女,39岁。因进食油腻餐后上腹持续性疼痛18 h入住消化科。患者18 h前进食油腻餐后出现上腹持续性疼痛,伴恶心、呕吐,无呕血、黑便,无腹泻,不发热,无咳嗽、气喘。既往体尚健,无糖尿病史。查体:T 37.0 Severe acute pancreatitis caused by diabetic ketoacidosis with hyperosmolar state 1 case analysis is as follows. 1 medical record summary female, 39 years old. Due to eating greasy meal 18 hours after continuous abdominal pain admitted to the Department of Gastroenterology. Patients 18 h before eating greasy meal after persistent abdominal pain, with nausea, vomiting, no hematemesis, melena, no diarrhea, no fever, no cough, asthma. Past body is still healthy, no history of diabetes. Physical examination: T 37.0