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儿童类风湿病是以16岁以下的少年儿童多发的结缔组织病。临床上多表现为长期不规则发热、皮疹、淋巴结肿大,还可伴肝、脾、胸膜和心包等内脏损害,且迟早会出现关节症状,而以腹痛就诊者临床少见,易被误诊,现将收治的1例患儿报告如下: 患儿男孩,7岁,因发热、腹痛、气喘1天就诊,当体温达39℃以上,即伴腹痛、气喘,且腹痛难忍,大汗淋漓,无恶心及呕吐,也无腹泻。入院查体:T39.4℃,P94次/分,R30次/分,W_t22kg,BP12/8KPa,发育正常,营养欠佳,神志清醒,表情痛苦,呼吸
Rheumatoid child is a connective tissue disease that occurs in children and adolescents under 16 years of age. Clinical manifestations of irregular long-term fever, rash, lymph nodes, but also with liver, spleen, pleura and pericardium and other visceral damage, and sooner or later there will be joint symptoms, and clinical treatment of abdominal pain rare, easily misdiagnosed, and now One case of children who were admitted to the hospital was reported as follows: The boy, aged 7, was treated for 1 day because of fever, abdominal pain and asthma. When the temperature reached 39 ℃, he had abdominal pain, wheezing, abdominal pain, sweating, no Nausea and vomiting, no diarrhea. Admission examination: T39.4 ℃, P94 times / min, R30 beats / min, W_t22kg, BP12 / 8KPa, normal development, poor nutrition, conscious, painful facial expression, breathing