Obvious redness and swelling around the umbilicus
Introduction
Introduction The umbilical cord is obviously red and swollen and hard. It is not complete disinfection of the neonatal umbilical week, leading to bacterial invasion, mass reproduction and inflammation. If the infection is severe, the fibrous tissue of the inflamed tissue is exuded and formed.
Cause
Cause
The umbilical cord is obviously red and swollen and hard. It is caused by improper nursing of the umbilical cord of the newborn, and the disinfection is not thorough, which causes the bacteria to multiply and cause inflammation, and then the fibrous proliferation and exudation.
Examine
an examination
Related inspection
Blood routine
There may be symptoms of cellulitis such as redness, swelling, heat, and pain. It can be seen that the umbilical cord is obviously red and swollen and hard, and there are more purulent secretions. The umbilical cord is lightly pressed, and the pus flows out from the umbilicus and has an odor. Generally, the systemic symptoms are mild, and the pain, congestion, and edema of the umbilical fossa or the umbilicus often have scented serous secretions. In the examination, the umbilical fossa was wet, the umbilical circumference was swollen, and tenderness was observed. In severe cases, empyema in the umbilical fossa is accompanied by fever, and there may be a swollen lymph node in the groin. Occasionally spread to the periphery of the umbilicus, and with deep infection, cellulitis and systemic symptoms.
Diagnosis
Differential diagnosis
The umbilical cord is obviously red and swollen and hard. It is caused by improper nursing of the umbilical cord of the newborn, and the disinfection is not thorough, which causes the bacteria to multiply and cause inflammation, and then the fibrous proliferation and exudation.
Need to be identified with the following diseases:
1. Umbilical sinus: caused by the umbilical end of the yolk tube is not closed. Carefully inspect the umbilicus and find the sinus with a probe or contrast agent. Sometimes it can be seen that the spheroidal polyp tissue section is the intestinal mucosa rather than the granulation tissue, which is called umbilical cord or umbilical polyp should be surgically removed.
2. Umbilical intestinal fistula (the yolk tube is not closed): a bright red mucous membrane with a rounded protrusion at the umbilicus. There is a mouth in the middle, there is a odor discharge or liquid feces, oral charcoal or a contrast agent injected into the umbilicus. X-ray examination can confirm the diagnosis. Need surgery.
3. Umbilical urethral fistula (umbilical ureteral obstruction): The umbilicus often has clear liquid outflow, local injection of contrast agent can enter the bladder or bladder retrograde angiography to reach the skin, injecting methylene blue to the umbilicus to discharge blue urine. Need surgery.
