脐部联体双胎紧急分离术的麻醉
Anesthesia for emergency separation of omphalopagus conjoined twins.
作者信息
Hobaika Adriano Bechara de Souza, Pires Kléber Costa de Castro, Fernandes Vitto Bruce Salles Alves
机构信息
CET/SBA of the Santa Casa de Belo Horizonte, MG.
出版信息
Rev Bras Anestesiol. 2010 May-Jun;60(3):311-4. doi: 10.1016/S0034-7094(10)70038-6.
BACKGROUND AND OBJECTIVES
The rate of mortality during the surgical separation of conjoined twins in the neonatal period is 50% and can reach up to 75% if it occurs in emergency situations. The planning of the surgical separation procedure is detailed and involves imaging assessment, evaluation of cross-circulation and even other surgical preparation procedures, such as skin expansion.
CASE REPORT
Eleven-day-old female omphalopagus conjoined twins underwent emergency surgical separation due to the death of one twin caused by sepsis associated to cardiopathy. The liver was shared by the twins and was separated. The surviving twin died six days later.
CONCLUSIONS
Surgical separation of conjoined twins in the neonatal period must be avoided due to the patients' organic system immaturity. However, emergency situations such as the one described herein can require the procedure to be carried out.
背景与目的
新生儿期联体双胎手术分离的死亡率为50%，若在紧急情况下进行则可达75%。手术分离程序规划详尽，包括影像评估、交叉循环评估以及其他手术准备程序，如皮肤扩张。
病例报告
一对11天大的脐部联体女双胞胎因其中一名双胞胎因与心脏病相关的败血症死亡而接受了紧急手术分离。肝脏由双胞胎共享并被分离。存活的双胞胎六天后死亡。
结论
由于新生儿期联体双胎患者的机体系统不成熟，必须避免进行手术分离。然而，如本文所述的紧急情况可能需要进行该手术。
Zotero 插件