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小型脐膨出又称脐疝,分娩后易误诊为脐带增厚,断脐时将肠管损伤。我院1987～1991年共收治3例,报道如下。本组均为男性,发病时间为生后2小时～1天。1例以脐部肿物并腹胀、呕吐就诊,2例以生后断脐误伤肠管就诊。分娩后均发现脐带根部增粗,胶质层较厚,予以结扎断脐后出现肠梗阻症状或发现脐带内有肠管切断。3例均行手术探查,脐根部皮缘切口入路,剪开囊膜,1例脐囊内为结扎部分回肠并坏死,距回盲部15cm,行回肠部分切除、肠吻合术;其余2例断脐时已误切除回肠末端和回盲部肠管,行回一升结肠吻合术,全部患儿均修补脐缺损后痊愈出院。
Small umbilical swelling, also known as umbilical hernia, misdiagnosed as umbilical cord thickening after childbirth, broken umbilical bowel injury. Our hospital from 1987 to 1991 were treated in 3 cases, reported as follows. This group are men, the onset time of 2 hours after birth to 1 day. 1 case of umbilical tumor and abdominal distension, vomiting, 2 cases of postpartum broken umbilical cord injury intestinal treatment. After delivery are found thickening of the umbilical cord roots, thick glue layer, to be cut off the umbilical intestinal obstruction symptoms or found within the umbilical cord intestine cut off. 3 cases underwent surgical exploration, umbilical root skin incision approach, cut the capsule, a case of ligation and ileal part of the ileus necrosis, from the ileocecal 15cm, ileal resection, bowel anastomosis; the remaining 2 cases Broken the umbilical cord has been mistakenly resection of the ileum and ileocecal bowel, line back to one liter of colon anastomosis, all children were repaired umbilical defect cured and discharged.