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先天性升结肠狭窄十分罕见,并且术前不易明确诊断[1],现将误诊1例分析如下。1临床资料男,82日龄。以呕吐2 d伴腹胀1 d入院。患儿孕1产1,孕34周产出,出生体重2.0 kg,生后无窒息史,胎便排出正常,母乳喂养。入院前2 d无诱因出现呕吐,开始为奶样胃内容物,后来见黄绿色胆汁样胃内容物,共吐3次,并出现腹胀,每日排黄色稀便3～4次,无脓血便,无发热。查体:体重5.0 kg,反应
Congenital ascending colon stenosis is very rare, and preoperative diagnosis is not easy [1], now misdiagnosed as one case analyzed as follows. 1 clinical data male, 82 days old. To vomiting 2 d with abdominal distension 1 d admission. Children with 1 pregnancy 1, 34 weeks of pregnancy output, birth weight 2.0 kg, no history of asphyxia after birth, normal fetal discharge, breastfeeding. 2 d before admission, no incentive to vomit, began to milk content of stomach, and later see the yellow-green bile-like stomach contents, a total of 3 times, and abdominal distension, daily discharge of yellow loose stool 3 to 4 times, no purulent blood , No fever. Physical examination: weight 5.0 kg, reaction