胎粪性腹膜炎的早期诊断(附27例临床分析)

The Early Diagnosis of Fetal Meconium Peritonitis:Clinical Analysis of 27 Cases

本文从发病时间、临床表现、X 线检查结果及手术发现等方面对27例胎粪性腹膜炎进行了分析.讨论了胎粪性腹膜炎早期诊断的依据及影响因素.提出了早期诊断的标准:<1>新生儿早期发病;<2>以腹胀、呕吐、便秘、腹壁静脉怒张和肠鸣减少为主要表现;<3>腹部 X 线检查发现钙化斑、气腹征等确诊征象;<4>参考母亲妊娠史.

27 cases of fetal meconium peritonitis were analysed of the onset,clinical manifesta- tions,results of abdominal roentgenogram and findings of operation.Basis of early diagnosis and factors offecting it were discussed.It is pro-posed that criteria for early diagnosis include:1)the onset may be early in the neenatal period;2)vomiting,abdominal distention,constipation,dominant veinson the wall of abclomen and weakened or absent bowel sounds are prominont;3)calcification,free gas shadow on the roentgenogram of the abdomen are diagnostic;4)pregnant history of his mother may be referred to.