Zhao Chun, Han Bo, Sun Zheng-yun, Sun Wen-xiu, Yang Bo, Liu Jin-fen, Lu Ya-nan, Wang An-biao, Wu Rong-de
Department of Pediatrics, Provincial Hospital Affiliated to Shandong University. Jinan 250021, China.
Zhonghua Er Ke Za Zhi. 2012 Mar;50(3):216-8.
To analyze and summarize the medical treatment experience following separation of thoracopagus conjoined twins.
The clinical manifestations and the medical therapy of a pair of thoracopagus conjoined twins were analyzed. The conjunction of the female twins was from 5 cm above the nipple to the umbilicus. They also suffered from complex congenital heart diseases. At the 17th day of their lives, they were surgically separated. One girl died after the operation, the other survived but experienced heart failure, sepsis and multiple organ dysfunction (including liver, blood and kidney et al). In order to protect or maintain the main organ function, the vital signs and the objective indexes were monitored continually, such as blood routine test, C reactive protein, hepatorenal function, bacterial culture, and galactomannan test, blood gas analysis and chest radiogram.
It is important to protect the main organ function and prevent or control infection. The early surgical correction of congenital heart disease may contribute to recovery of the children.
分析并总结胸腹联体双胎分离后的治疗经验。
对一对胸腹联体双胎的临床表现及治疗过程进行分析。这对女性双胎的联体部分从乳头上方5厘米至脐部。她们还患有复杂的先天性心脏病。出生第17天时接受了手术分离。一名女孩术后死亡，另一名存活但出现心力衰竭、败血症和多器官功能障碍（包括肝脏、血液和肾脏等）。为保护或维持主要器官功能，持续监测生命体征及客观指标，如血常规、C反应蛋白、肝肾功能、细菌培养、半乳甘露聚糖检测、血气分析及胸部X线片。
保护主要器官功能及预防或控制感染很重要。先天性心脏病的早期手术矫治可能有助于患儿康复。
