Swarte R M, Hack W W, Roex A J, Ekkelkamp S
Afd. Kindergeneeskunde, Medisch Centrum Alkmaar.
Ned Tijdschr Geneeskd. 1997 Jan 25;141(4):202-4.
At the birth of two children the amniotic fluid was green colored. The Apgar scores were good. Because of bilious vomiting and food retention, respectively, an open stomach tube was inserted, out of which bilious stomach contains were drained. The cause of green amniotic fluid was not meconium production or infection with Listeria monocytogenes, but mixing with green bile. At further investigation the children both proved to have a high intestinal obstruction distal of the papilla duodeni major.
两个孩子出生时羊水呈绿色。阿氏评分良好。由于分别出现胆汁性呕吐和食物潴留,插入了一根开放式胃管,引出了含胆汁的胃内容物。羊水呈绿色的原因不是胎粪形成或感染单核细胞增生李斯特菌,而是与绿色胆汁混合。进一步检查发现,两个孩子均被证实存在十二指肠大乳头远端的高位肠梗阻。