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患儿,男性,6岁,住院号:101106。因腹痛、腹胀、厌食4天入院,经X线摄片提示:中上腹部多个液平面。彩色超声提示,腹腔内少许积液。血白细胞总数正常,中性85％。诊断:机械性肠梗阻。入院第二天行剖腹检查,剪开腹膜约1cm见淡红色腹腔渗出液外漏,用吸引器吸出约500ml,打开腹膜后见未退化卵黄囊管绞袢回肠,空肠见梗阻近端扩张,有多处缺血坏死点,整个小肠充血、水肿,剪断未退化卵黄囊管的脐端、回肠端,缝扎脐端行肠减压术减出肠内容物,多为水样便,约1000ml,内翻缝合,在回肠端口行肠管减压后内翻缝合回肠切口关腹送入病房。
Children, men, 6 years old, hospital number: 101106. Due to abdominal pain, abdominal distension, anorexia 4 days admitted to the hospital, the X-ray film tips: multiple fluid level in the abdomen. Color ultrasound tips, a little intra-abdominal fluid. The total number of white blood cells normal, 85% neutral. Diagnosis: Mechanical intestinal obstruction. The day after admission, laparotomy was performed on the next day, and the peritoneum was cut to about 1 cm to see the light red exudate exudate. Aspirator was used to aspirate about 500 ml. After the peritoneum was opened, the undamaged yolk sac was seen, There are multiple ischemic necrosis point, the entire small intestine congestion, edema, cut uncemented yolk sac of the umbilical cord, ileal end, suture umbilical end intestinal decompression reduced intestinal contents, mostly watery stool, about 1000ml , Varus sutures, decompression in the ileum port line sutures ileus incision into the ward.