Ure B M, Holschneider A M, Gharib M, Holzki J, Födisch H J, Hansmann M
Kinderchirurgische Klinik, Kinderkrankenhauses der Stadt Köln.
Z Kinderchir. 1989 Jun;44(3):176-80. doi: 10.1055/s-2008-1043231.
We report on the emergency separation of xyphophagus-omphalophagus conjoined twins. The twins were delivered by Caesarean section in the 35th week of pregnancy. They were conjoined between the omphalus and xyphoid process and had a fusioned common liver. All other organs including the peritoneal cavities were separate. One of the twins showed normal development, whereas the other was multifocally deformed with microcephalus, complex vitium cordis, microintestine and malformation of the extremities. Due to the extremely poor general condition of the deformed twin immediate emergency separation was mandatory even before completing the diagnosis of circulatory condition and liver formation. The deformed twin died during the operation and the fully developed twin on the 7th day after the operation after cerebral haemorrhage with haemorrhagic diathesis. The report gives a detailed description of the specific foetal circulatory condition and the problem of a postoperatively occurring partial necrosis of the liver.
我们报告剑突-脐联体双胎的紧急分离情况。这对双胎在妊娠35周时通过剖宫产分娩。他们在脐部和剑突之间相连，并有一个融合的共同肝脏。包括腹腔在内的所有其他器官都是分开的。其中一个双胎发育正常，而另一个则有多灶性畸形，包括小头畸形、复杂性心脏畸形、小肠短小和肢体畸形。由于畸形双胎的一般状况极差，甚至在完成循环状况和肝脏形成的诊断之前就必须立即进行紧急分离。畸形双胎在手术中死亡，发育完全的双胎在术后第7天因脑出血伴出血素质死亡。该报告详细描述了具体的胎儿循环状况以及术后发生的肝脏部分坏死问题。
