腹痛是儿科常见症状之一,在我院儿科门诊就诊的患儿中有近1/4的患儿以“首发腹痛”为主诉。绝大部分属于腹部脏器内科性疾病,有一部分属于腹部脏器外科性疾病,还有一部分属于腹外疾病。特别是急腹症和腹外疾病这两部分所占儿童腹痛的比重并不多,但有时需要紧急处理,误诊漏诊极易造成脏器严重损害,甚至危及生命。因而,儿童腹痛的鉴别诊断尤为重要。 Abdominal pain is one of the common pediatric symptoms, pediatric clinic in our hospital, nearly 1/4 of children with “first abdominal pain” as the main complaint. Most of the internal organs belonging to abdominal diseases, some of which belong to surgical diseases of the abdominal organs, there are some belonged to extra-abdominal diseases. In particular, acute abdomen and extra-abdominal diseases accounted for two parts of the proportion of children suffering from abdominal pain, but sometimes need urgent treatment, misdiagnosis and missed diagnosis can easily cause severe organ damage, or even life-threatening. Therefore, the differential diagnosis of abdominal pain in children is particularly important.