小儿肺炎是临床的常见病,以腹痛为主要表现者临床较为少见,往往易与急性胃肠道疾病或急腹症相混淆,导致误诊误治。现将我院近年收治的腹痛型肺炎5例分析如下。 1 临床资料 5例中男3例,女2例,年龄2～5岁,起病24h内就诊3例,1至1.5d就诊2例,病初无流涕、咳嗽等,仅有脐周或中腹部阵发性疼痛伴呕吐、发热4例,体温在38.5℃左右,脐周压痛3例,肠鸣音亢进4例,3例 Pediatric pneumonia is a common clinical disease, with abdominal pain as the main clinical manifestations are relatively rare, often easily confused with acute gastrointestinal disease or acute abdomen, leading to misdiagnosis and mistreatment. Now in our hospital admitted in recent years, abdominal pain pneumonia in 5 cases analyzed as follows. 1 Clinical data 5 cases of 3 males and 2 females, aged 2 to 5 years, onset within 24 hours of treatment in 3 cases, 1 to 1.5d treatment in 2 cases, the beginning of the disease without runny nose, cough, etc., only the umbilical or In the middle part of the paroxysmal pain associated with vomiting, fever in 4 cases, body temperature around 38.5 ℃, umbilical tenderness in 3 cases, bowel hyperactivity in 4 cases, 3 cases