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患儿,男,因发现脐部分泌物2d入院,手术时患儿16d,体质量4000g。诊断考虑为“脐肠瘘”。出生体质量3250g。手术当天体质量3800g。一般生命体征平稳,心肺听诊正常。腹部体格检查:脐部有渗血渗液,无脐疝。实验室检查:各项生化检查基本正常。脐部窦道造影示:经脐部导管注入造影剂见少许造影剂经导管进入肠道内,未见明显造影剂弥散,考虑脐肠瘘。经脐部注射亚甲蓝,观察尿液颜色正常,脐尿瘘的可能不大。
Children, male, because of umbilical secretions found 2d admission, children with surgery 16d, body weight 4000g. Diagnosis considered as “umbilical fistula.” Birth weight 3250g. Body weight on the day of surgery 3800g. General signs of life stable, cardiopulmonary auscultation normal. Abdominal physical examination: umbilical bleeding seepage, no umbilical hernia. Laboratory tests: The basic biochemical tests were normal. Umbilical sinus angiography showed: the umbilical catheter injection of contrast medium see a little contrast agent by catheter into the intestine, no significant contrast agent diffusion, consider umbilical fistula. The umbilical injection of methylene blue, urine color to see the normal, umbilical fistula may not be large.