分析糖尿病创伤性脾破裂预后，为临床治疗提供依据。

回顾性分析江苏大学附属武进医院2012年1月至2016年12月收治的糖尿病创伤性脾破裂患者12例作为糖尿病组，随机选取期间创伤性脾破裂不合并糖尿病患者24例作为非糖尿病组，比较两组在并发症的发生率，死亡率及住院时间，血小板最高值之间差异。

两组比较，住院天数，死亡情况及血小板最高值，两组之间没有显著差异(P>0.05)；而在并发症发生率，两组之间存在差异(P<0.05)。

糖尿病患者创伤性脾破裂感染等并发症的发生率明显增加，但不会对住院时间，死亡率及血小板最高值产生影响。

To analyze the prognosis of the diabetes patients with traumatic spleen rupture and provide the basis for clinical treatment.

A retrospective analysis was carried out on 12 patients with traumatic splenic rupture combined with diabetes mellitus from January 2012 to December 2016. Twenty-four patients with traumatic splenic rupture without diabetes mellitus were randomly collected as control group. The incidence of complications, mortality and hospital stay and platelet maximum in two groups were compared.

The hospital stay, mortality and platelet maximum were not significantly different between two groups (P>0.05). There was difference in incidence of complications between two groups (P<0.05).

For patients with diabetes mellitus, traumatic splenic rupture may contribute for high incidence of complications such as infection, but may not influence the hospital stay, mortality and platelet maximum.