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本文报道1例新生儿,因注射器微粒造成肠缺血坏死。病例男婴,重860g,妊娠25周经阴道产出。于出生后1和5分钟Apgar评分分别为3和9分。因呼吸窘迫综合征,出生后就给人工通气,作脐动脉插管,注射液经聚丙烯注射器注入导管。第4天需氧量下降。拔出脐动脉导管,但不到1小时,患儿腹部膨胀,腹壁变为紫色,诊为胎粪性腹膜炎。腹部X光片显小肠有膨胀环,但肠壁无气体。停止鼻饲,由静脉给以营养、抗生素,直到第12天前,患儿病情稳定,这时由于阴囊捻发音和右骼窝包块,腹部更显膨隆。腹部X光摄片见游离气体。于第15天患儿不再排便,灌肠未见造影剂通过肝曲。剖腹探查见一炎性包块,由盲
This article reports a neonatal case, caused by syringe particles necrosis of intestinal ischemia. Case baby boy, weighing 860g, 25 weeks of pregnancy transvaginal output. The Apgar scores at 1 and 5 minutes after birth were 3 and 9, respectively. Due to respiratory distress syndrome, giving birth after artificial ventilation, umbilical artery for catheterization, injection of polypropylene syringe into the catheter. Day 4 oxygen demand decreased. Pull out the umbilical artery catheter, but less than 1 hour, children with abdominal swelling, abdominal wall into purple, diagnosed as meconium peritonitis. Abdominal X-ray showed small intestine expansion ring, but no intestinal wall gas. Stop nasal feeding, intravenous nutrition, antibiotics, until the first 12 days, children with stable condition, then because of scrotal twist and right ilium mass, the abdomen more bulging. Abdominal X-ray film to see the free gas. Children no longer defecation on the 15th day, enema no contrast agent through the liver song. See a laparotomy inflammatory mass, by the blind