全身炎症反应综合征（SIRS）死后，暹罗双胞胎之一的凝血变化：病例研究。
Coagulation changes in a siamese twin in SIRS after death of the other twin: a case study.
机构信息
Department of Anesthesiology and Intensive Care, Nicolaus Copernicus University, Bydgoszcz, Poland.
出版信息
Med Sci Monit. 2010 Jan;16(1):CS1-5.
BACKGROUND
Conjoined twins represent a rare case of embryonic failure. Siamese twins' final outcome is usually associated with poor prognosis due to complications, among which the inflammatory and septic disturbances are often present.
CASE REPORT
The article describes Siamese twins of craniopagus type. One of the twins died of heart and aortic failure after 48 hours of life. The decision regarding surgical separation then became an emergency. At the same time laboratory results for the surviving twin I indicated steadily worsening coagulation functions and processes, which we believed were caused by the death of twin II, as well as by systemic inflammatory response syndrome (SIRS).
CONCLUSIONS
Due to vascular conjunction between the twins' brains' circulatory systems the sequenced progress of coagulopathy was noticed in the surviving twin.
背景
联体双胞胎是胚胎失败的罕见案例。暹罗双胞胎的最终结果通常由于并发症而预后不佳，其中炎症和败血症紊乱经常存在。
病例报告
本文描述了颅联体的暹罗双胞胎。其中一个双胞胎在出生后 48 小时死于心脏和主动脉衰竭。因此，手术分离成为紧急事项。与此同时，存活的双胞胎 I 的实验室结果表明凝血功能不断恶化，我们认为这是由双胞胎 II 的死亡以及全身炎症反应综合征 (SIRS) 引起的。
结论
由于双胞胎大脑循环系统的血管连接，在存活的双胞胎中注意到了凝血功能障碍的顺序进展。
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