【摘要】 目的提高对临床症状不典型的小儿肾盂积水的诊断水平,减少误诊误治。方法分析10例以腹痛为主要表现的小儿肾盂积水的临床资料。结果10例中误诊为肠炎2例,肠痉挛2例,肠易激综合征1例,腹型癫痫2例,腹部占位2例,其它1例。误诊时间2~14个月。10例中手术9例,其中肾切除3例,其它方式手术6例,另外1例泌尿系结石行碎石,经治疗后腹痛未再复发。结论反复腹痛患儿仅考虑胃肠道疾患而忽略泌尿系检查是造成临床误诊的主要原因。更多还原

【Abstract】 Objective To improve diagnostic level of nephrydrosis in children with untypical clinical symptom and decrease misdiagnosis and mistreatment.Methods Clinical data of children with nephrydrosis with abdominal pain as chief manifestation were retrospectively analyzed.Results Among of 10 cases,2 cases were misdiagnosed as enteritis,2 cases as enterospasm,1 case as irritable bowel syndrome,2 cases as abdominal epilepsy,2 cases as abdominal space-occupying lesions and 1 case as other.Time of misdiagnosis was from 2 months to 14 months.Out of 10 cases,9 cases were performed with operation,inclding 3 cases of nephrectomy and 6 cases of operative methods.1 case of calculus of urinary system was performed with lithoclasty,abdominal pain was none recurrence after treatment.Conclusion Children with repeated abdominal pain are considered as gastrointestinal tract diseases but examination of urinary system neglected which is primary cause of clinical misdiagnosis.更多还原