Neonatal small intestine herniated into the chest cavity in 1 case misdiagnosed as pulmonary cysts.doc

 PAGE \* MERGEFORMAT 5 Neonatal small intestine herniated into the chest cavity in 1 case misdiagnosed as pulmonary cysts [Keywords:] intestinal hernia; lung cyst; newborn A medical record Male children, was born the day after the reduction due to crying, poor sucking reflex, shortness of breath, paroxysmal facial bruising, easy to panic 3 h, with “neonatal hypoxic ischemic encephalopathy” in the October 6, 2008 into the pediatric ward. children produced 1 1 Department of pregnancy, full-term birth, the parents of non-kin marriage, his father 27 years old, his mother 25 years old, healthy, natural pregnancy, denied that the family has a genetic history of non-radioactive and toxic exposure history, no medication history. antenatal ultrasound showed 7 days: fetal head in the pubic symphysis, biparietal diameter 9.9 cm, fetal heart rate law, amniotic fluid, 17 cm, slightly cloudy, the placenta attached to the anterior wall of the uterus, placenta echo a ring calcification femur length 7.4 cm. born with the aging placenta, amniotic fluid slightly more light pollution, after birth, Apgar score 10 points. cries a little loud after birth, poor sucking reflex. examination: body temperature 37.2 ℃, pulse 136 / min , breathing 35 times / min, weight 3.4 kg, reflecting poor blood vessels without scalp expansion, anterior fontanel is not closed, eyes the ball was no tremor, and the setting sun sign, bilateral and other large and round pupil diameter of 4.0 mm, light sensitive, depending on the No change in the nipple. handsome, neck without resistance, tracheal center, cyanosis of lips, the spirit of poor, unresponsive, breathing exercises to reduce the left side of the chest, chest wall percussion for the drum sound; the left side of chest auscultation breath sounds disappear, the right side of the chest breath sounds weaker than normal breath sounds, and hear the auscultation. auscultation heart sounds on the left lower chest, right chest, a strong heart sounds