Yang C J, Hung D S
Zhonghua Yi Xue Za Zhi (Taipei). 1989 Jan;43(1):71-4.
Meconium peritonitis is an aseptic peritonitis that follows a perforation of the intestines in fetal life. It is a serious complication of intestinal perforation. This article reports a female newborn who was born with gestational age of 40 weeks and birth body weight of 3400 gm. She was admitted at age of 6 days, owing to persistent vomiting, abdominal distention, tachypnea and acrocyanosis since birth. The plain abdomen showed intra-abdominal calcification and intestinal distention. Under the impression of meconium peritonitis, she was treated aggressively with exploratory laparotomy, TPN and antibiotics. During operation, dense fibrous adhesions and agglutination of the intestine were found. But no intestinal perforation was noted. Culture of ascites isolated Enterobacter aerogenes. The patient's condition was gradually recovered and she was discharged at age of 32 days. According to the previous literature, meconium peritonitis is a relative rare disease with poor prognosis. So we would like to report this case.
胎粪性腹膜炎是胎儿期肠道穿孔后发生的无菌性腹膜炎。它是肠道穿孔的一种严重并发症。本文报道一名孕40周出生、出生体重3400克的女婴。她出生6天时因自出生以来持续呕吐、腹胀、呼吸急促和肢端发绀入院。腹部平片显示腹腔内钙化和肠扩张。在胎粪性腹膜炎的诊断下，对她进行了积极的剖腹探查、全胃肠外营养和抗生素治疗。手术中发现肠管有致密的纤维粘连和凝集。但未发现肠道穿孔。腹水培养分离出产气肠杆菌。患者病情逐渐恢复，32天时出院。根据以往文献，胎粪性腹膜炎是一种相对罕见且预后较差的疾病。因此我们报道此病例。
