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患儿,男,3天,2500g,第二胎足月产。出生二天出现明显腹部胀气,无呕吐与发热,吮奶尚可,排胎便少量,经当地医院治疗一天无效,于生后三天转来我院。患儿父母系近亲婚配,健康情况良好。体检:一般情况欠佳。体温37.7℃,呼吸50次/,脉搏180次。心肺未见异常。腹部高度膨隆,腹壁静脉怒张,但未见肠型,腹肌无紧张,未扪及包块,腹部叩诊鼓音,听诊肠鸣音消失,未闻及气过水声。全腹X线正位摄片:腹部明显膨胀,双膈下大量游离气体,提示
Children, male, 3 days, 2500g, second childbirth per month. Obvious abdominal flatulence appeared two days after birth, no vomiting and fever, sucking milk is acceptable, a small amount of row tire, the local hospital for one day invalid, three days after birth to our hospital. Children with their parents marriage, good health. Physical examination: the general situation is not good. Body temperature 37.7 ℃, breathing 50 times /, pulse 180 times. Heart and lung no abnormalities. Abdominal bulge, vein abdominal wall irritation, but no intestinal type, no tension abdominal, palpable mass, abdominal percussion drum sounds, auscultation bowel sounds disappear, no smell of gas over the water. Full abdominal X-ray radiography: abdominal significant expansion, a large number of free radicals under the diaphragm, suggesting