联体双胎的麻醉管理

The anaesthetic management of conjoined twins.

作者信息

Stuart Grant M, Black Ann E, Howard Richard F

机构信息

Department of Anaesthesia and Pain Medicine, Great Ormond Street Hospital for Children NHS Foundation Trust, Level 3 Old Building, London WC1N 3JH, UK.

出版信息

Semin Pediatr Surg. 2015 Oct;24(5):224-8. doi: 10.1053/j.sempedsurg.2015.06.005. Epub 2015 Jun 24.

DOI:10.1053/j.sempedsurg.2015.06.005

PMID:26382261

Abstract

The management of anaesthesia for conjoined twins poses unique anatomical, physiological and logistic challenges. Although many possible configurations of union exist and each is unique, we describe the principles of anaesthesia for conjoined twins drawing on our institutional experience of managing 26 sets for a variety of procedures including separation.

摘要

联体双胎的麻醉管理带来了独特的解剖、生理和后勤方面的挑战。尽管存在许多可能的联体形式，且每种形式都独一无二，但我们借鉴本机构管理26对联体双胎进行包括分离手术在内的各种手术的经验，阐述联体双胎的麻醉原则。