急性血卟啉病系卟啉代谢紊乱所引起的代谢性疾病。本病临床表现变化多端,常易误诊。现将我院1例血卟啉病误诊为原发性癫痫报告如下。病例报告患者女,24岁,江苏南通县人。1980年12月27日因脐周阵发性绞痛7天,发作性抽搐4天入院。发病初有恶心、呕吐,呕吐物为绿色苦水,呕吐后疼痛不缓解。腹痛呈阵发性发作,每天发作约3 Acute hematoporphyrinosis Department of metabolic disorders caused by porphyrin metabolism. The clinical manifestations of this disease varied, often misdiagnosed. Now in our hospital 1 case of blood porphyria misdiagnosed as primary epilepsy reported as follows. Case report Female patient, 24 years old, Nantong County, Jiangsu Province. December 27, 1980 due to umbilical paroxysmal colic 7 days, episodes of convulsions 4 days admitted. Early onset of nausea, vomiting, vomit is green bitter water, pain after vomiting does not ease. Abdominal pain was paroxysmal attack, about 3 episodes per day