新生儿急性坏死性胃肠炎合并幽门区断裂致大量气腹一例报告

• 作 者: 蔡新宇
• 机 构: 荆沙市第一人民医院放射科 434000
• 出 处: 影像诊断与介入放射学
• 发表日期: 1996年01期
• 关键词: 急性坏死性 重度窒息 出血点 出生后 肛管排气 坏死性小肠炎 胎粪性腹膜炎 肠旋转不良 先天性巨结肠 面色苍白

患儿,男,3天,第一胎,孕37周多,难产。出生后5小时,因重度窒息,经抢救呼吸恢复后由产婴室转入儿科。查体;T 35℃,R 32次/分,P 96次/分,新生儿貌,反应欠佳,面色苍白,唇周无发绀,呼吸平稳,皮肤无黄染,皮疹及出血点,心肺正常,腹软,肠鸣音可闻及,肝脾不大,至第3天,病情加重,呼吸加速,腹胀剧,肠鸣音消失,肛管排气,未见气体排出。 实验室检查:WBC 15.6×10~9/L,N 0.52,L 0.46,E 0.01,M 0.01,Hb 139g/L,RBC 4.56×10~(12)/L。

Children, male, 3 days, the first child, more than 37 weeks of pregnancy, dystocia. 5 hours after birth, due to severe asphyxia, resuscitation and resuscitation by the infants into the pediatric. Examination; T 35 ℃, R 32 beats / min, P 96 beats / min, neonatal appearance, poor response, pale, lip cyanosis, smooth breathing, skin yellow, rash and bleeding points, , Belly soft, bowel sounds can be heard, not the liver and spleen, to the first 3 days, the disease aggravated, respiratory acceleration, bloating drama, bowel sounds disappear, anal exhaust, no gas discharge. Laboratory tests: WBC 15.6 × 10 ~ 9 / L, N 0.52, L 0.46, E 0.01, M 0.01, Hb 139g / L, RBC 4.56 × 10-12 / L.