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病例:女,10个月,第一胎,第一产,过期妊娠,娩出时青紫窒息经抢救好转,生后胎粪排出延迟伴明显腹胀。全身皮肤黄疸持续月余经治疗消退,但腹胀便秘不见好转,每3～5天灌肠一次才能排出较多粪便。为此患儿3个月时曾到几家医院就诊,均因腹胀、数日排便一次而未进行有关的实验室检查,诊为“先天性巨结肠”需手术治疗。后因咳嗽气急来我院就诊,以支气管肺炎收入院。查体:T 36℃,HR 80次/分,R60次/分,气急,口周发绀,三凹征阳性,表情淡漠,呆滞,皮肤苍黄干燥,吸吮缓慢,哭声低哑,毛发稀少干枯,前囱2.5cm×2.5cm,前额有皱
Case: Female, 10 months, the first child, the first production, overdue pregnancy, delivery of cyanosis suffocation after salvage, delayed discharge of meconium after birth with significant bloating. Whole body skin jaundice continued for more than a month after treatment subsided, but no improvement in abdominal distension and constipation, enema once every 3 to 5 days to discharge more stool. To this end, 3 months when the children had to several hospitals for treatment, all because of abdominal distension, bowel movements once a few days without the relevant laboratory tests, diagnosed as “Hirschsprung’s disease” required surgical treatment. Due to cough hurry to our hospital for treatment, bronchial pneumonia income hospital. Examination: T 36 ℃, HR 80 beats / min, R60 beats / min, shortness of breath, perioral cyanosis, three concave sign positive, expression indifferent, sluggish, dry and pale skin, sucking slowly, crying dumb, Front chimney 2.5cm × 2.5cm, forehead wrinkled