目的总结2型糖尿病合并细菌性肝脓肿的临床特点和诊治经验。方法回顾性分析2007-09-2010-09苏州市第一人民医院收治的2型糖尿病合并细菌性肝脓肿41例的临床资料。结果本病患者年龄偏大,血糖控制不理想,营养状况不佳,培养阳性率低,并发症发生率高,但治疗总有效率达90.2%。结论 2型糖尿病合并细菌性肝脓肿近来有增多趋势,临床表现不典型,提高认识、早期诊断、积极治疗是关键。 Objective To summarize the clinical features and diagnosis and treatment of type 2 diabetes mellitus complicated with bacterial liver abscess. Methods The clinical data of 41 patients with type 2 diabetes mellitus combined with bacterial liver abscess admitted to First People’s Hospital of Suzhou City from 2007-09-2010-09 were retrospectively analyzed. Results The patients were older, blood glucose control is not satisfactory, poor nutritional status, culture positive rate is low, the incidence of complications, but the total effective rate of 90.2%. Conclusions Type 2 diabetes mellitus combined with bacterial liver abscess has an increasing trend recently, and its clinical manifestations are not typical. It is the key to improve cognition, early diagnosis and active treatment.