论文部分内容阅读
患儿男,3d12h,因腹胀、拒奶3+d入院。第4胎第4产,足月家中顺产生后吃奶约10ml即腹胀,呕吐乳汁样物,拒奶。生后约35h未排大便,予开塞露排胎粪少许,患儿大姐10岁体健,二姐三姐均于1岁时因病死亡。入院查体:体温37.6℃,脉博130次/min,呼吸58次/min,体重2600g,神清,反应差,哭声无力。皮肤中度黄染。双肺、心(-)。腹胀,尚软,见腹壁静脉曲张,肠鸣音减弱(1-2次/min),下腹壁皮肤红肿,阴囊水肿。肝脾未扪及,生理反射存在。实验室检
Children male, 3d12h, due to abdominal distension, refused to milk 3 + d admission. The fourth birth of the fourth child, full-term home after sunscreen about 10ml suck that bloating, vomit milk samples, refused to milk. About 35h after birth, no stools were discharged, a small amount of meconium was excreted, and 10-year-old child health eldest sister and sister-in-law of the second elder sister died of illness at the age of 1 year. Admission examination: body temperature 37.6 ℃, Pulse Bo 130 times / min, breathing 58 times / min, weight 2600g, God clear, poor response, crying weakness. Medium yellowish dyed skin. Double lungs, heart (-). Bloating, still soft, see the abdominal wall varicose veins, bowel sounds weakened (1-2 times / min), the lower abdominal wall skin irritation, scrotal edema. Liver and spleen not palpable, there is physiological reflex. Laboratory test