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患儿:男,2天,因其母产前 B 超检查时发现患儿胃呈两个连通的球形,生后出现腹胀、无胆汁的呕吐入院。体检:全身皮肤、粘膜无黄染,轻度脱水征。腹软,可见胃型。通过胃管向胃内注入少量钡剂转动体位见胃部出现双球征,远侧球内钡剂不能再流入近侧,有少量钡剂进入小肠,12小时后观察胃仍呈双球形,有钡剂残留。拟诊为胃输出道梗阻。
Children: male, 2 days, because of their mother’s prenatal B-ultrasound found in children with two connected spherical spleen, after birth abdominal distension, no vomiting admitted to hospital. Physical examination: body skin, mucous membrane without yellow dye, mild dehydration sign. Abdomen soft, visible stomach. Through the stomach tube to the stomach into a small amount of barium rotation position see double ball sign in the stomach, distal ball of barium can no longer flow into the proximal, a small amount of barium into the small intestine, 12 hours after the observation of the stomach was still double spherical, there Barium residue. To be diagnosed as gastric obstruction.