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本文就我院5例误诊的小儿化脓性心包炎分析如下: 一般资料:男3例,女2例。诊断时间:住院24小时内3,72小时内2例,误诊为败血症,中毒性心肌炎3例,肺炎伴心衰1例,脓胸1例,5例均经X线检查“B”超、心电图、心包穿刺脓汁涂片及培养确诊。例1:男,3岁,因发烧、烦躁,谵语3天,加重伴气促1天入院,病前4天有手指外伤史。检查:T39.2℃,神志不清、气紧、烦躁,左手
In this paper, 5 cases of misdiagnosed pediatric suppurative pericarditis in our hospital are as follows: General information: 3 males and 2 females. Diagnosis time: 24 hours within 3,72 hours in 2 cases, misdiagnosed as sepsis, 3 cases of toxic myocarditis, pneumonia with heart failure in 1 case, empyema in 1 case, 5 cases were X-ray examination “B” ultra, electrocardiogram , Pericardial puncture pus smear and culture confirmed. Example 1: Male, 3 years old, due to fever, irritability, delirium for 3 days, aggravated with gas promote 1 day admission, 4 days before the disease history of finger trauma. Check: T39.2 ℃, unconscious, tight gas, irritability, left hand