7天大婴儿胸部的肠音:这是怎么回事?

IF 0.4 Q4 EMERGENCY MEDICINE Emergency Care Journal Pub Date : 2023-07-25 DOI:10.4081/ecj.2023.11570
A. Di Nora, F. Pizzo, P. Pavone
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引用次数: 0

摘要

一名7天大的女婴出现进食困难和呼吸窘迫。她通过阴道分娩足月出生,体重2625克,在她出生后的第一分钟和第五分钟,阿普加得分分别为9分和10分。她的母亲确实做了全面的产前护理,她报告说在怀孕期间每天抽10支烟。婴儿出生良好,无呼吸窘迫,反应性好,新生儿反射阳性,前24小时排出胎便,母乳喂养有效。婴儿出院时情况良好。三天后,她出现进食困难,被我们研究所录取。入院时,心率180bpm,呼吸频率70/min,室内空气氧饱和度93%。临床检查表现为明显的下海岸挛缩和吸气性喘鸣伴发绀。右侧心脏听诊及胸部肠音。我们决定对他的胸部和腹部进行x光检查。
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Bowel sounds in the chest of a 7-day-old baby: what’s going on?
A 7-day-old female neonate presented with feeding difficulties and respiratory distress. She was born at term by vaginal delivery, weighed 2625 gr, with Apgar scores 9 and 10 in the first and fifth minutes of her life. Her mother did make complete prenatal care, and she reported smoking 10 cigarettes a day during the pregnancy. The baby was born well and evolved without respiratory distress, with good reactivity, a positive neonatal reflex, the emission of meconium in the first 24 hours, and breastfeeding with valid suckling. The baby was discharged at home in good condition. Three days later, she presented with feeding difficulties, and she was admitted to our institute. At admission, the heart rate was 180 bpm, the respiratory rate was 70/minute, and the oxygen saturation was 93% in room air. At the clinical examination, subcoastal retractions and inspiratory stridor with cyanosis were evident. A right-sided heart auscultation and bowel sounds in the chest were detected. We decided to perform an X-ray of the chest and abdomen.
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来源期刊
Emergency Care Journal
Emergency Care Journal EMERGENCY MEDICINE-
CiteScore
0.10
自引率
60.00%
发文量
29
审稿时长
10 weeks
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