儿童急性腹痛是儿科临床最常见的症状之一,它涉及到临床各科疾病,其特点是发病急、主诉腹痛、变化快。病因常见于儿科器质性疾病、儿外科急腹症,还有与器质性疾病无关的且与心理因素有关的急性腹痛,本文报告383例急性腹痛患儿的发病原因与心理,现分析如下。1临床资料1.1一般资料选取2005～2008年本院儿科门诊、急诊就诊的可能与心理因素有关的383例患儿,其中男207例,女176例;年龄4～14岁。1.2临床特点与处理方法发病急,主诉腹痛,不伴腹泻、呕吐、发热等症状。腹痛的部位主要为上腹部和脐部周围。持续腹痛时间较短,一般不超过1h。发病的绝大多数患儿可追问出病前有不良精神刺激和环境压力等诱因。查体时见患儿表情痛苦、 Acute abdominal pain in children is one of the most common clinical symptoms of pediatrics, which involves various clinical diseases, which are characterized by acute onset, abdominal pain complaints, fast changes. The etiology is common in pediatric organic diseases, pediatric acute abdomen, as well as with organic disease-related and psychological factors related to acute abdominal pain, the paper reports 383 cases of acute abdominal pain in children with causes and psychological analysis is as follows . 1 Clinical data 1.1 General Information Select from 2005 to 2008 our hospital pediatric outpatient and emergency treatment may be related to psychological factors in 383 children, including 207 males and 176 females; aged 4 to 14 years. 1.2 Clinical features and treatment of acute onset, the main complaint of abdominal pain, without diarrhea, vomiting, fever and other symptoms. Abdominal pain mainly in the upper abdomen and umbilical area. Continuous abdominal pain for a short time, generally not more than 1h. The incidence of the vast majority of children can be asked before the onset of adverse mental stimulation and environmental stress and other incentives. Physical examination children with painful expression,