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男婴,足月剖宫产,体重3730克,孕37周外院B超示,胎儿胃泡扩张。次日转我院B超:胎儿腹内可见两个暗区,最高点相当于胃泡水平位,亦可向下延续,提示消化道畸形。6天后再次B超,改变不大。生后12小时无呕吐,查体未见异常,因B超提示消化道畸形,故患儿生后立即插胃管抽胃液,但未抽出,哭闹后出现青紫。生后13小时出现呼吸困难,胸廓饱满,左侧可闻肠鸣音,右侧胸骨第Ⅳ肋间可闻心音,腹部呈轻度舟腹。胸腹X线片显示:右肺中上野大片状密
Baby boy, full-term cesarean section, weighing 3730 grams, 37 weeks of pregnancy outside the hospital B-ultrasound, fetal gas bubble expansion. The next day transferred to our hospital B: Fetal intraabdominal visible two dark areas, the highest point equivalent to the level of gas bubble, can be extended down, suggesting gastrointestinal malformations. B again after 6 days, little change. 12 hours after birth, no vomiting, physical examination showed no abnormalities, because of B-prompted gastrointestinal malformations, so immediately after the birth of gastrostomy tube pumping gastric juice, but not out, appeared purple after crying. 13 hours after birth, breathing difficulties, full thorax, the left can be heard bowel sounds, the right side of the fourth intercostal sterno can smell the heart, abdomen was mild boat belly. Chest X-ray film showed: the right lung large U-shaped dense