以腹痛为首发表现的儿内科急危重症临床特点及治疗观察

摘要

Objective:To explore the clinical features and treatment of severe crisis in pediatric department of internal medicine with abdominal pain as the first manifestation.Methods:76 cases with severe crisis in pediatric department of internal medicine were selected.The clinical data were retrospectively analyzed.Results:In 16 cases of fulminant myocarditis,8 cases were cured,7 cases were effective,1 case was ineffective.In 20 cases of obstructive shock,10 cases were markedly effective,8 cases were effective,2 cases were invalid,including 1 case of death.In 28 cases of purpura,12 cases were markedly effective,15 cases were effective,1 case was invalid.In 12 cases of diabetic ketoacidosis,8 cases were markedly effective,4 cases were effective.Conclusion:According to the clinical features of severe crisis in pediatric department of internal medicine with abdominal pain as the first manifestation,giving the appropriate treatment can promote children's health and reduce the mortality rate.%目的：探讨以腹痛为首发表现的儿内科急危重症临床特点及治疗。方法：收治儿内科急危重症患儿76例，回顾性分析临床资料。结果：16例爆发性心肌炎患儿中，8例显效，7例有效，1例无效；20例梗阻性休克患儿中，显效10例，有效8例，无效2例，其中1例死亡；28例紫癜患儿中，显效12例，有效15例，1例无效；12例糖尿病酮症酸中毒患儿中，显效8例，有效4例。结论：按照腹痛首发表现的儿内科急危重症临床特点给予相应的治疗，有助于促进患儿的健康，降低死亡率。