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患儿,男,3d,因反复呕吐3d入院。患儿出生后不久喂奶后出现吐奶,每次进奶后均会吐出,开始不剧,渐加重,不含胆汁样物。收治新生儿科后,给予禁食,胃肠减压,试用阿托品口服治疗,2d后试喂糖水仍反复呕吐,并有时含胆汁样物,症状渐加重,胎粪量略少。查体见上腹部稍膨隆,可见胃蠕动波,右上腹未触及异常包块。经上消化道碘油造影,提示幽门不全梗阻。B超未见幽门肥厚。于生后7d行剖腹探查,术中取右上腹横切口,探查见幽门
Children, male, 3d, admitted to hospital for repeated vomiting. Shortly after the birth of children with milk appear to spit milk, each milk will be spit out after the start does not play, gradually heavier, free of bile-like material. After treatment of neonatology, given fasting, gastrointestinal decompression, oral administration of atropine trial, 2d after the trial is still fed with water and vomiting, and sometimes with bile samples, the symptoms gradually increased, meconium slightly less. Check the body to see the upper abdomen slightly bulging, showing gastric motility wave, the right upper quadrant did not touch the abnormal mass. The upper gastrointestinal lipiodol angiography, suggesting pyloric obstruction. B super pylorus hypertrophy. 7d after birth, laparotomy exploration, surgery to take the right upper quadrant transverse incision exploration to see pylorus