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患儿男,3天。因便血1天入院。患儿于3天前在我院足月顺产,无产伤及外伤,未喂食物。产后次日解胎便一次,接着大便呈暗红色血性,1日10余次,量不多,诊断下消化道出血。查体:T.36.2℃,P140次/分,R32次/分,腹略胀,肝脾确诊不满意,腹肌轻度紧张,未扪及包块,叩呈浊音,肠鸣音弱。血红蛋白185g/L,红细胞5.8×10~(12)/L,白细胞18.1×10~9/L,中性70%,淋巴30%;大便红细胞(卅),脓球(廿)。入院后肌注安络血,维生素K_1,青霉素,补液,纠酸,输血等。次日便血减少,但腹胀明显加重,腹壁静脉怒张,腹壁是青紫色,张力高,叩呈实音,肠鸣音消失。胸膜平透未见异常。因高度腹胀,影响呼吸,致呼吸衰竭而骤停。立即胸外按摩,并于右上腹穿刺出
Children male, 3 days. One day after admission due to blood in the stool. Children in three days in our hospital full-term follow-up, non-injury and trauma, not feeding food. Disappeared the day after giving birth once, followed by dark red bloody stool, on the 1st more than 10 times, not much, the diagnosis of lower gastrointestinal bleeding. Physical examination: T.36.2 ℃, P140 beats / min, R32 beats / min, abdomen slightly swollen, liver and spleen diagnosed unsatisfactory, mild abdominal muscle tension, palpable mass, knocking voiced, bowel sounds weak. Hemoglobin 185g / L, red blood cells 5.8 × 10-12 / L, white blood cells 18.1 × 10 ~ 9 / L, neutral 70%, lymph 30%; stool red blood cells (psoas), pus ball (20). Intramuscular injection of collateral blood, vitamin K_1, penicillin, rehydration, acid correction, blood transfusion and so on. The next day reduced blood in the stool, but significantly increased abdominal distension, abdominal wall distention, abdominal wall is purple, high tension, knocking was the real sound, bowel sounds disappear. Pleural effusion without abnormalities. Due to a high degree of abdominal distension, affecting breathing, respiratory failure caused by arrest. Immediate chest massage, and puncture the right upper quadrant