胆汁染色羊水：一例报告
Bile-stained amniotic fluid: a case report.
作者信息
Puvabanditsin Surasak, Chen Charlotte Wang, Vinod Suja, Mehta Meghan S, Choudry Omer, Walzer Lauren
机构信息
Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, One Robert Wood Johnson Place, New Brunswick, NJ, 08903, USA.
College of Arts and Sciences, Boston University, Boston, USA.
出版信息
J Med Case Rep. 2017 Sep 6;11(1):254. doi: 10.1186/s13256-017-1419-8.
BACKGROUND
Green-stained amniotic fluid does not always indicate that meconium was passed in utero.
CASE PRESENTATION
We report the case of a 2280-g Hispanic preterm female born at 32 weeks of gestation with congenital jejunal atresia. The amniotic fluid was greenish stained; the initial impression was meconium-stained amniotic fluid. Postnatal findings revealed no meconium in her rectum. The content of her first stool appeared sticky and white.
CONCLUSION
In the absence of meconium in the rectum, the pediatrician should consider the possibility that the greenish amniotic fluid is not meconium stained, but rather stained with bile due to the fetus vomiting in utero secondary to intestinal obstruction.
背景
羊水呈绿色并不总是表明胎儿在子宫内已排出胎粪。
病例报告
我们报告一例妊娠32周出生的体重2280克的西班牙裔早产女婴，患有先天性空肠闭锁。羊水呈绿色；初步判断为胎粪污染羊水。产后检查发现其直肠内没有胎粪。她第一次排出的粪便呈黏性且为白色。
结论
在直肠内没有胎粪的情况下，儿科医生应考虑羊水呈绿色并非因胎粪污染，而是由于胎儿因肠梗阻在子宫内呕吐导致胆汁污染的可能性。
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