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腹痛病因很多,除外科急腹症外,儿科常见的是:肠、胆道蛔虫症,感染性腹泻,急性胃肠炎,扁桃体炎,大叶肺炎,心脏疾患等。近年来西宁地区小儿病毒性心肌炎发病率增加,而且往往以腹痛为主诉就诊。我科曾以“腹痛待查或急性胃肠炎”收住几例患儿,入院后发现同时有循环不良等休克表现。经详细有关检查,按修订的病毒性心肌炎诊断标准,确诊为病毒性心肌炎,心源性休克。经积极抢救,预后各异。现报告如下:
Abdominal pain due to many causes, in addition to surgical acute abdomen, pediatric common are: intestinal, biliary ascariasis, infectious diarrhea, acute gastroenteritis, tonsillitis, lobar pneumonia, heart disease. In recent years, Xining area increased incidence of viral myocarditis, and often the main complaint of abdominal pain treatment. My department had to “abdominal pain pending or acute gastroenteritis” admitted to a few cases of children admitted to hospital found to have poor circulation and other shock performance. After detailed examination, according to the revised diagnostic criteria of viral myocarditis, diagnosed as viral myocarditis, cardiogenic shock. After active rescue, different prognosis. The report is as follows: