论文部分内容阅读
男,32周早产,出生体重1700g。生后3天突然出现腹胀,呕吐粘液样物及呼吸急促。体检:急性病容,呼吸困难,R64次/分,面色苍白。腹胀如鼓,腹壁、阴囊、双下肢均水肿。腹部叩诊为鼓音,肝浊音界消失,肠鸣音弱。X线检查:腹腔有大量游离气体和横贯全腹的大液平面。两侧膈肌明显升高,无胃泡影。诊断:先天性胃壁肌层缺损伴穿孔。在必要的术前准备下即行手术治疗。
Male, 32 weeks premature delivery, birth weight 1700g. Sudden bloating 3 days after birth, vomiting mucus-like material and shortness of breath. Physical examination: acute illness, breathing difficulties, R64 beats / min, pale. Abdominal distension, such as drums, abdominal wall, scrotum, both lower extremities are edema. Percussion percussion drums, liver dullness disappeared, bowel sounds weak. X-ray examination: There is a lot of free gas in the abdominal cavity and large liquid level across the abdomen. Diaphragmatic significantly increased on both sides, no stomach bubble shadow. Diagnosis: congenital gastric wall defects with perforation. Surgical treatment is performed with the necessary preoperative preparation.