本文分析2例糖尿病酮症酸中毒误诊为急性胰腺炎的原因,以期提高对首发腹痛的糖尿病酮症酸中毒的认识。1病例资料例1,男,46岁。商人,体态稍胖,高血压病史3年,糖尿病病史2年。1年前患急性胰腺炎,治愈。本次因上腹痛5 h为主诉于2008年9月25日至我院急诊科。5 h前饮酒后出现上腹部 This article analyzes two cases of diabetic ketoacidosis misdiagnosed as acute pancreatitis, in order to improve the understanding of diabetic ketoacidosis in first-onset abdominal pain. 1 case data example 1, male, 46 years old. Businessmen, a little fat body, a history of hypertension for 3 years, a history of diabetes for 2 years. Acute pancreatitis 1 year ago, cured. The main complaint of 5 h due to abdominal pain in September 25, 2008 to our emergency department. 5 h after drinking the upper abdomen