丙酸血症国内外报道多为婴幼儿,年长儿极为罕见,现将本院收治1例确诊为丙酸血症的患儿报道如下:1临床资料患儿,男,10岁5个月,因“呕吐1周,发热2天”入院。10天前发热40℃,抗感染治疗热退后出现呕吐,均为胃内容物,10余次/天,伴有头痛、头晕, Propionic acidosis is mostly reported in infants and young children at home and abroad, very rare in older children, now admitted to our hospital were diagnosed as a case of propionicosis in children reported as follows: 1 clinical data children, male, 10 years and 5 months , Because of “vomiting for 1 week, fever 2 days ” admission. 10 days ago fever 40 ℃, anti-infective treatment of fever and vomiting after retreat, are stomach contents, more than 10 times / day, accompanied by headache, dizziness,