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患儿,女,4d,因不排便4d、呕吐3d入院。患儿自生后未解大便,3d前喂奶后呕吐,呕吐物含胆汁。查体:体温36.5℃,脉搏136次/min,呼吸42次/min,体重2kg,上腹稍丰满而中下腹较空虚,查肛可见少许白色粘液状物,余无异常发现,其他系统未见合并畸形。血常规:WBC11.4×109/L,HGB164g/L,PTL370×109/L。X片:腹部稍膨隆,胃明显扩张,中下腹见部分小肠曲含气影。详细追问患儿家族史,在其家族成员中未发现类似病例。入院诊断消化道畸形,肠闭锁或肠旋
Children, women, 4d, 4d due to bowel movements, vomiting 3d admitted. Unconscious stool in children after childbirth, vomiting after 3 days of feeding, vomit with bile. Examination: body temperature 36.5 ℃, pulse 136 beats / min, breathing 42 beats / min, weight 2kg, the upper abdomen slightly full and the lower abdomen is more empty, check the anus can be seen a little white mucus, I found no abnormalities other systems have not seen Combined deformity. Blood: WBC11.4 × 109 / L, HGB164g / L, PTL370 × 109 / L. X-ray: slightly bulging abdomen, stomach significantly expanded, see part of the lower abdomen infuriating Qigong. Asked in detail the family history of children, in their family members did not find a similar case. Admission diagnosis of gastrointestinal malformations, intestinal atresia or intestinal rotation