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患者男,足月顺产。娩出后发现肠子露在腹外。检查:体温36℃呼吸40次/分,脉搏150次/分.烦躁。呈急性病容。两肺呼吸音稍粗,未闻罗音。心率150次/分,律齐,无杂音。腹壁肌肉自右腋前线脐水平略呈斜形向左下缺损。缺损部位有透明尼龙薄膜样物质覆盖,厚约1mm,上缘与腹壁肌肉相连。大、小肠管及肠系膜均由缺损处外翻,肠管发育正常。脊柱四肢无异常。拒绝转院,3小时后死亡。
Male patient, full-term follow-up. After the delivery was found in the abdominal cavity exposed. Check: body temperature 36 ℃ breathing 40 beats / min, pulse 150 beats / min. Irritability. Was acute disease. Breath sounds slightly thick lungs, did not hear Luo sound. 150 beats / min, law Qi, no noise. Abdominal wall muscle from the right axillary line umbilical level slightly oblique left lower defect. Defect site covered with transparent nylon film-like material, thickness of about 1mm, the upper edge of the abdominal wall muscles connected. Large, small intestine and mesentery by eversion valgus, normal bowel development. Spine limbs without exception. Refused to transfer to hospital, died after 3 hours.