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男,7天,出生后进行性腹胀七天入院,伴呕吐1～2次/日,量小。出生后未解大便曾喝过少许葡萄糖水。无发热。曾在当地住院治疗无好转。第2孕第2胎,足月顺产,在家中自然分娩,生后即有啼哭。出生时体重2.5kg。体查:发音正常,营养差,脱水貌,气促,无明显发绀,心率150次/分,腹胀,可见肠型,腹式呼吸减弱,腹壁轻度水肿和潮红,未扪及包块。肝脾不大。肠鸣减弱,叩诊无移动性浊音,胸腹透视:“小肠梗阻”。入院诊断:小肠梗阻,先天性肠道畸形待除外。入院第三天作钡灌肠透视,诊断为:
Male, 7 days, after birth, abdominal distention for seven days admitted to hospital, with vomiting 1 to 2 times / day, a small amount. Unconsolidated stool after drinking a little glucose water. No fever. Had no improvement in the local hospital treatment. 2nd pregnancy 2nd child, full-term natural delivery, natural childbirth at home, after birth, there are crying. Birth weight 2.5kg. Physical examination: normal pronunciation, poor nutrition, dehydration appearance, shortness of breath, no obvious cyanosis, heart rate 150 beats / min, abdominal distension, visible intestinal type, abdominal respiration weakened, abdominal wall mild edema and flushing, palpable mass. Small spleen and liver. Bowel sounds weakened, percussion no moving dullness, chest and abdomen perspective: “small bowel obstruction.” Admission diagnosis: small bowel obstruction, congenital intestinal deformity to be excluded. On the third day of admission for barium enema, diagnosed as: