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患儿:女,5天。足月顺产,生后未排胎便,因生后即出现进行性腹胀伴胆汁性呕吐入院。体检:生命体征平稳,脱水貌,反应尚可。腹膨隆,腹壁水肿,浅静脉清晰,左侧腹部可见宽大肠型。外阴部只有一个开口,插入尿管后排出尿液。经该开口作肛门指检:肛门口无狭窄,直肠无缩指感,小指进入直肠约4 cm 受阻,直肠前壁饱满。腹部 X 线片:左中上腹可见一宽大液平。入院当日急诊手术。手术所见:①乙状结肠处为盲端型闭锁,闭锁近端肠管高度扩张,直径约9 cm;②横结肠中部发
Children: Female, 5 days. Full-term follow-up, after childbirth did not row will be due to postnatal abdominal bloating with biliary vomiting admitted. Physical examination: stable vital signs, dehydration appearance, the reaction is acceptable. Abdominal bulging, abdominal wall edema, superficial veins, left wide belly visible wide intestine. Only one of the genitals opening, after the catheter inserted urinary discharge. Anus through the opening refers to the inspection: anal stenosis, rectal no sense of shrinkage, little finger into the rectum about 4 cm blocked, rectal wall full. Abdominal X-ray: the left upper abdomen can be seen a large liquid level. Emergency surgery on the day of admission. Surgical findings: ① sigmoid colon at the blind end closure, proximal locking bowel height expansion, a diameter of about 9 cm; ② transverse colon in the hair