低血糖为细菌性脓毒症的一种罕见表现,本文报告9例由不同细菌引致的危重脓毒症患者均伴随显著的低血糖,提醒人们应注意到低血糖可作为脓毒症的一种临床表现。9例脓毒症中除1例为6个月婴儿外余为21～73岁。男5例,女4例。除1例婴儿外,8例有严重度不等的原发病,包括酒精中毒5例(其中2例合并肝硬化,1例合并肺腺癌);脾功能亢进、疑为系统性红斑狼疮和慢性肾功能不全进行透析治疗各1例。9例中临床诊断为脓毒症3例;肺炎4例;蜂窝织炎2例。血液培养分离得如下致病菌:肺炎链球菌3例;乙型嗜血流感杆菌2例;化脓性链球菌、乙组脑膜炎球菌和大肠杆菌各1例。9例均有代谢性 Hypoglycemia is a rare manifestation of bacterial sepsis. In this paper, 9 cases of severe sepsis caused by different bacteria are reported with significant hypoglycemia, reminding people that hypoglycemia can be used as a kind of sepsis Clinical manifestations. In 9 cases of sepsis, except for 1 case, the 6-month-old infant was 21-73 years old. 5 males and 4 females. In addition to 1 infant, 8 cases of primary disease ranging in severity, including 5 cases of alcoholism (including 2 cases of cirrhosis and 1 case of lung adenocarcinoma); hypersplenism, suspected systemic lupus erythematosus and Chronic renal insufficiency for dialysis treatment in 1 case. 9 cases of clinical diagnosis of sepsis in 3 cases; 4 cases of pneumonia; cellulitis in 2 cases. Blood culture isolated the following pathogens: Streptococcus pneumoniae in 3 cases; B 2 cases of Haemophilus influenzae; Streptococcus pyogenes, group B meningococci and Escherichia coli in 1 case. 9 cases were metabolic