目的:分析观察以腹痛为主要症状的糖尿病酮症酸中毒患者的临床表现,从而提升该类病症的就诊水平,降低死亡率。方法:结合我院2015年1月-2017年1月以剧烈腹痛为首发症状的糖尿病酮症酸中毒患者29例,对其临床表现以及误诊原因进行总结。结果:本组29例患者确诊并接受抢救治疗,其急性腹痛症状出现好转,酮症消失。结论:以急性腹痛为首发症状的糖尿病酮症酸中毒患者在就诊的过程中往往会与外科急腹症出现混淆,降低就诊率,为此医务人员在治疗作业的过程中需要加强对于该类症状的了解,分析病患的病史,降低误诊率,保障患者的生命安全。 Objective: To observe the clinical manifestations of diabetic ketoacidosis patients with abdominal pain as the main symptom, so as to improve the treatment of such diseases and reduce the mortality rate. Methods: Combined with 29 cases of diabetic ketoacidosis who had severe abdominal pain as our first symptom from January 2015 to January 2017 in our hospital, the clinical manifestations and causes of misdiagnosis were summarized. Results: Twenty-nine patients in this group were diagnosed and rescued. The symptoms of acute abdominal pain improved and ketosis disappeared. CONCLUSIONS: Patients with diabetic ketoacidosis who have acute abdominal pain as their first symptom tend to be confused with surgical acute abdomen in the course of their treatment and thus reduce the visiting rate. For this reason, medical staff need to intensify their treatment of such symptoms Understanding, analysis of the patient’s medical history, reduce the rate of misdiagnosis, protect the patient’s life safety.