病例报告·

　　【摘要】 暴发性1型糖尿病(FID)以急骤起病、代谢紊乱严重、胰酶升高，并缺乏糖尿病相关抗体为特征，属1B型糖尿病。妊娠期出现的T1DM基本上均为FID，一旦发生即可能出现死胎、孕妇死亡等严重后果。本文报道1例妊娠合并FID患者，讨论其发病情况、机制及诊断要点，旨在提高对该病的认识，改善预后。

　　【关键词】 糖尿病酮症酸中毒;糖尿病，1型;暴发性;妊娠

　　【Summary】Fulminant type 1 diabetes (F1D) which is characterized by the abrupt onset of disease, severediabetic ketoacidosis,high serum pancreatic enzyme concentrations, and absence of diabetes-related antibodies is classified astype 1B diabetes. T1DM that developed during pregnancy were mostly F1D. Once occurred, it would lead to severe outcomes such as stillbirth and death of gravida. One case of pregnancy combined with F1D is reported in this article. We discussed the incidence, pathogenesis and diagnosis of the disease, aiming at strengthening the awareness of the disease and also improving the prognosis.

　　【Key words】Diabetic ketoacidosis(DKA);Diabetes mellitus, type 1 (T1DM) ; Fulminant;Pregnancy