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女,15天,因呕吐12天入院。患儿生后第三天开始呕吐,每日数次,呈喷射性,为黄绿色胃液。大便正常,食欲尚可。体检:体温不升,体重2.5kg,脱水貌,神志清,哭声弱,心音以胸骨右缘为主,上腹膨隆,可见自右至左的蠕动波,左肋下可触及肝脏边缘,无包块,肠鸣音弱。余未见异常。X线检查:立位胸腹平片示:心脏右位肝、胃转位,胃底在右膈下有一大胃泡,液平较宽,中下腹无肠积气影,上消化道钡剂
Female, 15 days, due to vomiting 12 days admitted to hospital. Children began to vomit the third day after birth, several times a day, was sprayed, yellowish green gastric juice. Normal stool, appetite is acceptable. Physical examination: body temperature does not rise, body weight 2.5kg, dehydrated appearance, clear consciousness, crying weak, heart sound to the right sternal border, bulging upper abdomen, visible from right to left peristalsis, left rib can reach the edge of the liver, no Mass, bowel sounds weak. I no abnormalities. X-ray examination: the position of the chest and abdomen plain film shows: the right liver, stomach transposition, the bottom of the stomach in the right diaphragm has a large gas bubble, the liquid level is wide, in the lower abdomen without intestinal gas shadow, the upper gastrointestinal barium