急性出血性坏死性小肠炎早期临床表现复杂,容易误诊,本院于1975～1987年共收治247例,误诊38例,误诊率高达15.4%。现分析如下。临床资料男25例,女13例。年龄～3岁4例,～7岁18例,7～14岁16例。手术22例,治愈36例,死亡2例。误诊病种及其特点:(1)误诊菌痢11例,其中10例有脓血便,里急后重,腹痛较轻,大便镜检脓球多于红血球,3例见到吞噬细胞。误诊时 Acute hemorrhagic necrotizing enterocolitis early complex clinical manifestations, easy misdiagnosis, the hospital from 1975 to 1987 were treated a total of 247 cases, 38 cases of misdiagnosis, misdiagnosis rate as high as 15.4%. Analysis is as follows. Clinical data of 25 males and 13 females. Age ~ 3 years in 4 cases, ~ 7 years in 18 cases, 7 to 14 years in 16 cases. 22 cases were cured, 36 cases were cured and 2 died. Misdiagnosis of diseases and their characteristics: (1) Misdiagnosed bacillary dysentery in 11 cases, of which 10 cases of sepsis, tenesmus, abdominal pain less stool examination pus ball more than red blood cells, 3 cases of phagocytic cells. Misdiagnosis