患儿男,40天。因突然哭闹不安,拒食,腹膨胀逐渐加重一天,无呕吐、发烧,1983年10月8日来诊。体查:体温38.1℃,呼吸急促,面色苍白,皮肤、巩膜无黄染,表浅淋巴未触及。胸部对称,心肺无异常。腹极度膨胀,无肠型、压痛、反跳痛。无包块扪及。肝浊音消失,肠鸣音消失。腹部透视:膈下大量游离气体,下腹部见有宽大液平。实验室检查:血红 Children male, 40 days. Due to sudden crying uneasy, antifeedant, abdominal swelling gradually aggravating one day, no vomiting, fever, October 8, 1983 visit. Physical examination: body temperature 38.1 ℃, shortness of breath, pale, skin, sclera no yellow dye, superficial lymph did not touch. Chest symmetry, no abnormal heart and lungs. Abdominal swelling, no intestinal type, tenderness, rebound tenderness. No mass palpable. Liver dull disappeared, bowel sounds disappear. Abdominal fluoroscopy: A large number of free gas under the diaphragm, the lower abdomen see a large liquid level. Laboratory tests: blood red