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典型心肌炎诊断并不困难。但轻症或不典型病例常与其他疾病混淆,容易造成误诊。现将我在附属一院儿科所见误诊病例,对其误诊原因进行分析讨论。几种少见误诊病例报告一、因阵发性腹痛、抽搐误诊为腹痛型癫痫: 例一、男、8岁,无明显原因发生腹痛伴抽,呈间断性发作已一月余。每次发作数分钟,能自行缓解,每隔数天或一天发作数次不定,曾按癫痫治疗无效。检查:一般情况好,心率52次/分,心音稍钝,肺(一),腹软,无压痛,神经系统无阳性体征。胸片:除心影稍大外,余无异常。心电图:二度房室传导阻滞,腹痛、抽搐发作时显示完全性房室传导阻滞。实验室检查:抗“○”及血沉
The diagnosis of typical myocarditis is not difficult. However, mild or atypical cases often confused with other diseases, easily lead to misdiagnosis. I now misunderstand the cases of pediatrics in the Affiliated Hospital, analyze the causes of misdiagnosis. A few rare cases of misdiagnosis First, due to paroxysmal abdominal pain, convulsions misdiagnosed as abdominal pain type epilepsy: A male, 8 years old, no obvious reason for abdominal pain with pumping, intermittent seizures have been more than a month. Each episode a few minutes, to relieve itself, every few days or one episode of indefinite episode, had been treated epilepsy invalid. Check: The general situation is good, heart rate 52 beats / min, heart sound a little blunt, lung (a), abdominal soft, no tenderness, nervous system no positive signs. X-ray: In addition to heart shadow slightly larger, I no exception. ECG: second degree atrioventricular block, abdominal pain, seizures showed complete atrioventricular block. Laboratory tests: anti “○” and ESR