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例1.患儿男,4天,住院号8002418,1980年8月23日入院。4天前母亲因产前子痫而行剖宫产,胎儿取出后呈重度窒息状,1分钟Apgar 评分为2分。经抢救,4分钟后出现自主呼吸,哭声微弱。产后48小时出现腹胀、呕吐咖啡样物,病情逐渐加重,腹部高度膨胀,叩呈鼓音,肝浊音界消失,肠鸣消失。X 线摄片示:“马鞍”状气腹象(X 线号8001947)。初步诊断为新生儿消化道穿孔。全麻下急诊开腹,见大量
Example 1 male patient, 4 days, hospital number 8002418, August 23, 1980 admission. 4 days before the mother cesarean section because of prenatal eclampsia, fetus was removed after severe asphyxia, 1 minute Apgar score of 2 points. Rescued, spontaneous breathing after 4 minutes, crying weak. Postnatal 48 hours of abdominal distension, vomit coffee samples, the condition gradually increased, the abdomen was highly expanded, knocking was drum sound, liver dullness disappeared, bowel disappeared. X-ray shows: “saddle” shaped pneumoperitoneum (X line number 8001947). Initial diagnosis of neonatal gastrointestinal perforation. Emergency under general anesthesia laparotomy, see a large number