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患儿,男,出生1天,足月顺产,出生体重2700g,生后发现肛门闭锁,即转来我院外科。母孕期健康,父母非近亲婚配。入院时查体发育成熟,呼吸急促,发绀,双肺布满罗音,心脏无异常。腹软。肝脾未触及,双大腿外测轻度硬肿,肛门闭锁。当天在局麻下行会阴部肛门成形术。术后不久即从肛门排出胎粪和气体。但仍呼吸困难,口吐白沫,双肺闻及湿性罗音,以新生儿肺炎转入新生儿病房,喂奶后立即从鼻腔溢出,腹胀,从鼻腔下胃管插入20cm后有阻力。考虑为先天性食道闭锁,合并食管气管痿。做食道稀钡造影,证实为先天性食道闭锁伴下段食管气管瘘。患儿家长拒绝手
Children, male, born 1 day, full-term birth, birth weight 2700g, after birth found anal atresia, that is transferred to our hospital surgery. Mother during pregnancy, non-relatives of parents and marriage. Physical examination during admission mature, rapid breathing, cyanosis, lungs covered with rales, no abnormal heart. Abdomen soft. Liver and spleen not touched, double thigh external testicular swelling, anal atresia. Perineal perineal anal angioplasty was performed on the same day. Shortly after the discharge of meconium and gas from the anus. But still breathing difficulties, foaming at the mouth, smell of lungs and wet rales, neonatal pneumonia into neonatal wards, immediately after feeding from the nasal cavity overflow, abdominal distension, from the nasal cavity after insertion of gastric resistance 20cm. Considered as congenital esophageal atresia, combined with tracheal atrophy. Do esophageal barium contrast, confirmed as congenital esophageal atresia with the lower esophageal tracheal fistula. Parents refused to hand children