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儿童时期大叶性肺炎比较少见,症状常不典型,易误诊它病。现将我院1966年1月至1981年5月共计误诊52例小儿不典型大叶性肺炎做以简略原因探讨。典型病例以吐泻为主在临床上误诊为急性胃肠炎、消化不良者6例,占11.53％。此类型病儿在临床上出现发热及消化道功能紊乱症状,而无明显呼吸道症状,因此误诊。例1:男,3岁,住院号14066。吐泻2天,呈稀水便,呕吐为胃内容物。查体:体温37.8℃,呼吸25次/分,呼吸促,神志清,有脱水征,苔白,心音纯,律整,两肺未见异常,腹软,肝肋下1厘米,质软,肠音亢进。检查白细胞15100,中性82％,淋巴18％;便检:脂肪球(+)。入院48小时后。常规胸透发现右肺中叶大片状阴影。
Lobular pneumonia in childhood is relatively rare, the symptoms are often atypical, easily misdiagnosed it. Now in our hospital from January 1966 to May 1981 a total of 52 cases of pediatric atypical lobular pneumonia were misdiagnosed as a simple reason to explore. Typical cases of vomiting and diarrhea mainly clinically misdiagnosed as acute gastroenteritis, indigestion in 6 cases, accounting for 11.53%. This type of sick child clinical symptoms of fever and gastrointestinal disorders, without obvious respiratory symptoms, so misdiagnosed. Example 1: Male, 3 years old, hospital number 14066. Vomiting and diarrhea 2 days, was thin watery, vomiting for the stomach contents. Physical examination: body temperature 37.8 ℃, breathing 25 beats / min, breathing, conscious, with dehydration sign, white moss, sound pure, law, no abnormal lungs, abdomen soft, liver ribs 1 cm, Bowel hyperthyroidism. Check white blood cells 15100, 82% neutral, lymph 18%; check: fat ball (+). 48 hours after admission. Conventional chest through the middle of the right lobe large shadow found.