胸腹联体双胎中的心脏及其他畸形。
Cardiac and other malformations in parapagus twins.
作者信息
Tansel Türkan, Yazicioğlu Fehmi
机构信息
Department of Cardiovascular Surgery, School of Medicine, Istanbul University, Capa, Turkey.
出版信息
Arch Gynecol Obstet. 2004 Mar;269(3):211-3. doi: 10.1007/s00404-002-0406-4.
INTRODUCTION
Conjoined twins occur in one 50-200,000 live births and approximately 75% of all cases are thoracopagus twins. Parapagus conjoined twins are rare and are not included in many review articles.
CASE REPORT
The cardiovascular system of a male parapagus (dicephalus, tetrabrachius, dipus) conjoined twins was studied. Twin B had bilateral bilobed lungs and a normal heart, while bilateral trilobed lungs and right isomerism was found in twin A. They shared a diaphragm and an abdominal cavity. There were two complete heads on two necks, two thoraxes, one abdomen, four arms, two legs, two complete vertebral columns, a single pelvis, and severe cardiac abnormalities.
引言
联体双胎的发生率为每50000至200000例活产中有1例，所有病例中约75%为胸部联体双胎。旁联体双胎较为罕见，许多综述文章中未涉及。
病例报告
对1例男性旁联体（双头、四臂、双足）联体双胎的心血管系统进行了研究。双胎B有双侧双叶肺且心脏正常，而双胎A有双侧三叶肺及右位异构。他们共用一个膈肌和一个腹腔。有两个完整的头位于两条颈部，两个胸部，一个腹部，四条手臂，两条腿，两个完整的脊柱，一个骨盆，以及严重的心脏异常。
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