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患儿,男,生后23小时未排胎粪,无腹胀及呕吐。查体:腹软,未扪及肿块,肠鸣音略亢进。肛门指诊:进入3厘米处有阻挡感。患儿孕36周早产,胎盘早剥,臀位分娩。其母孕早、中期经过顺利,无服药史。产前检查,B超显示:羊水量偏多,胎儿结肠扩张呈低回声,有点状回声(胎粪),结肠宽达3.5cm,动态变化可到2.3cm,可追朔到肛门,未见明显肛门闭锁迹象。印象:下消化道畸形待除外。生后X线检查:立位及侧位胸腹部平片、钡剂灌肠造影显示:心
Children, male, 23 hours after birth, no row of meconium, no bloating and vomiting. Examination: abdominal soft, palpable mass, bowel sounds slightly hyperthyroidism. Anal Fingering: Into 3 cm at a sense of obstruction. 36 weeks of pregnancy in children with preterm birth, placental abruption, breech delivery. The mother’s pregnancy early, mid-passed, without medication history. Prenatal examination, B-ultrasound showed: the amount of amniotic fluid is more, the fetus was low echo echogenic, a little echogenic (meconium), colon wide 3.5cm, dynamic changes can be 2.3cm, can be traced back to the anus, no obvious Anal atresia signs. Impression: The lower gastrointestinal deformity to be excluded. X-ray examination after birth: standing and lateral chest and abdomen plain film, barium enema angiography showed: heart