新生儿血腹是新生儿严重急症之一,可导致新生儿血腹的腹部脏器损伤包括肝破裂、脾破裂、胃破裂、肾及肾上腺损伤、腹腔血管损伤出血等。而肝破裂是导致新生儿血腹的最主要原因。本院曾见2例新生儿肝破裂,1例及时确诊经手术修补等综合治疗抢救存活,另1例误诊死亡。现报告分析如下。例1女,4天,第1胎,足月自然分娩,出生体重2800g,母产前骨盆测量正常。患儿出生时情况良好,生后48小时发现面色逐渐苍白,腹部膨隆,哭声低,反应差,吸吮无力。第4天儿科会诊,当时检查精神萎糜,皮肤苍白,巩膜轻度黄染,心率164次,呼吸54次,脉搏细弱尚能扪清,腹部膨隆 Neonatal blood and abdomen is one of the severe neonatal acute illness, can lead to neonatal hypothyroidism abdominal organ damage including liver rupture, rupture of the spleen, rupture of the stomach, kidney and adrenal injury, abdominal vascular injury and bleeding. The liver rupture is the leading cause of neonatal blood and abdomen. We have seen 2 cases of neonatal liver rupture, 1 case of timely diagnosis and treatment by comprehensive treatment such as surgical rescue survival, another case of misdiagnosed death. The report is analyzed as follows. Example 1 female, 4 days, first child, full-term natural childbirth, birth weight 2800g, normal pelvic measurement before maternity. Children born in good condition, 48 hours after birth, pale gradually found, bulging belly, crying low, poor response, weak sucking. Day 4 pediatric consultation, check the spirit of wilt, pale skin, scleral mild yellow dye, heart rate 164 times, breathing 54 times, the pulse is still weak palpable clear, bulging belly