Cohen M D, Weber T R, Grosfeld J L
Radiology. 1984 Jan;150(1):65-9. doi: 10.1148/radiology.150.1.6580677.
Although the diagnosis of bowel perforation is frequently straightforward, it may be difficult in the neonate. Clinical signs may be limited to abdominal distension. If the patient is on assisted ventilation, pneumoperitoneum may be due to air tracking down from the chest rather than perforation. The authors report 6 cases of bowel perforation in infants in whom the diagnosis could not readily be made from the clinical findings and plain radiographs but was apparent when oral metrizamide was employed. This suggests that metrizamide can be a valuable adjunct in some cases of neonatal bowel perforation.
虽然肠穿孔的诊断通常很简单，但在新生儿中可能会很困难。临床体征可能仅限于腹胀。如果患者正在接受辅助通气，气腹可能是由于气体从胸部下行而不是穿孔所致。作者报告了6例婴儿肠穿孔病例，这些病例无法根据临床表现和普通X线片轻易做出诊断，但在使用口服甲泛葡胺时却很明显。这表明甲泛葡胺在某些新生儿肠穿孔病例中可能是一种有价值的辅助手段。
