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新生儿自然气腹少见,它与由空腔脏器穿孔的气腹及肠梗阻有本质的不同。现将我院一例报告如下。女婴,住院号322361。34~(+4)周早产,第一胎,1986年6月2日出生,顺产,母亲孕期顺利。新生儿Apgar 评分,1分钟9分;5分钟10分。体重2100g。体检外观无畸形,精神反应好,心、肺无异常,肝脾不大。腹平坦柔软,皮肤菲薄,红润。耳廓软,指(趾)甲未超过指(趾)端。温箱28°保暖,喂养顺利。体温波动两次达38℃。第5天出现腹胀,精神欠佳,呕吐少量胆汁样物,大便呈黄色粘液糊状。吃奶每次40～50ml,腹部膨隆以上腹部为主,触之软,无腹膜刺激征,未扪及肿物。叩呈鼓音,移动性浊音阴
Neonatal natural pneumoperitoneum is rare, it is different from the pneumoperitoneum and intestinal obstruction perforation of hollow organs. Now a hospital report is as follows. Baby girl, hospitalization 322361.34 ~ (+4) weeks premature birth, the first child, born on June 2, 1986, cesarean delivery, mother’s pregnancy goes well. Neonatal Apgar score, 1 minute 9 minutes; 5 minutes 10 minutes. Weight 2100g. Physical examination without deformity, good mental response, heart, lung no abnormalities, liver and spleen not. Abdomen flat and soft, meager skin, rosy. Auricle soft, finger (toe) A does not exceed the finger (toe) end. Warm incubator 28 °, feeding smoothly. Body temperature fluctuations of 38 ℃ twice. Abdominal distension on day 5, poor psychosis, vomiting, a small amount of bile-like substance, stool was yellow mucus. Nursing each 40 ~ 50ml, abdominal distension above the abdomen, soft touch, no peritoneal irritation, palpable mass. Kou drum sound, shifting voiced Yin