Gardikis S, Giannakopoulou C, Hatzidaki E, Vlazakis S, Vlahakis I, Kazanis I, Charissis G
Department of Paediatric Surgery, University of Crete, Crete, Greece.
Minerva Pediatr. 2000 Dec;52(12):743-6.
Two pairs of identical and non-identical premature neonates proceeding from twin pregnancies were operated on for spontaneous gastric perforation. The newborns in our case, one girl and one boy two different pregnancies were delivered by emergency cesarean section. Their gestational ages were 30 and 32 weeks, and their birth weight 1400 and 2100 g, respectively. Both of the neonates were being treated in the Neonatal Intensive Care Unit when the perforations were diagnosed. They presented clinically abrupt symptoms of abdominal distension and pneumoperitoneum. The sites of the ruptures were located at the anterior gastric wall near the gastroesophageal junction. The sibling twins were consequently also observed very carefully and fortunately they did not develop any similar clinical symptoms. All four twins were finally discharged from the hospital in good condition.
两对来自双胎妊娠的同卵和异卵早产新生儿因自发性胃穿孔接受了手术。我们病例中的新生儿，一女一男，来自两次不同的妊娠，均通过急诊剖宫产分娩。他们的胎龄分别为30周和32周，出生体重分别为1400克和2100克。穿孔被诊断时，两个新生儿均在新生儿重症监护病房接受治疗。他们临床上表现出腹胀和气腹的突然症状。破裂部位位于胃食管交界处附近的胃前壁。因此，对同胞双胞胎也进行了非常仔细的观察，幸运的是他们没有出现任何类似的临床症状。所有四个双胞胎最终均康复出院。
