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联体双胎、右心房异构与序列节段分析。

Conjoined twins, right atrial isomerism, and sequential segmental analysis.

作者信息

Rossi M B, Burn J, Ho S Y, Thiene G, Devine W A, Anderson R H

机构信息

Department of Paediatrics, Brompton Hospital, London.

出版信息

Br Heart J. 1987 Nov;58(5):518-24. doi: 10.1136/hrt.58.5.518.

DOI:10.1136/hrt.58.5.518
PMID:3676041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1277350/
Abstract

Three cases of twins conjoined across the chest were examined. In one set, one twin showed right atrial isomerism and the other showed the usual atrial arrangement. The other two sets showed the usual atrial arrangement in both twins. The associated cardiac anomalies were diverse, ranging from atrioventricular septal defects to absent atrioventricular connections. Sequential segmental analysis was used successfully in each case to classify the complex cardiac anomalies. The first step was the recognition of the atrial arrangement. This was easily achieved despite the complexity of the intracardiac morphology.

摘要

对三例胸部相连的联体双胞胎进行了检查。在其中一组中,一个双胞胎显示右心房异构,另一个显示正常的心房排列。另外两组双胞胎均显示正常的心房排列。相关的心脏异常多种多样,从房室间隔缺损到房室连接缺失。在每个病例中,均成功使用序列节段分析法对复杂的心脏异常进行分类。第一步是识别心房排列。尽管心脏内部形态复杂,但这很容易实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/d4a29ce42300/brheartj00095-0108-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/ceafeca509b7/brheartj00095-0105-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/dcc0f75e4107/brheartj00095-0106-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/d27d89d78f4f/brheartj00095-0106-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/e7b4e9f9190c/brheartj00095-0107-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/d4a29ce42300/brheartj00095-0108-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/ceafeca509b7/brheartj00095-0105-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/dcc0f75e4107/brheartj00095-0106-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/d27d89d78f4f/brheartj00095-0106-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/e7b4e9f9190c/brheartj00095-0107-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f2/1277350/d4a29ce42300/brheartj00095-0108-a.jpg

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本文引用的文献

1
Primary biases in twin studies; a review of prenatal and natal difference-producing factors in monozygotic pairs.双胞胎研究中的主要偏差;对同卵双胞胎产前和出生时差异产生因素的综述。
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Implications of agenesis of the spleen on the pathogenesis of conotruncus anomalies in childhood; an analysis of the heart malformations in the splenic agenesis syndrome, with fourteen new cases.儿童期脾脏缺如对圆锥干畸形发病机制的影响;脾缺如综合征中心脏畸形的分析,附14例新病例
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Twins, conjoined twins, and cardiac defects.
Am J Dis Child. 1978 Jan;132(1):17-8. doi: 10.1001/archpedi.1978.02120260019001.
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Monozygotic twinning and structural defects.单卵双胎与结构缺陷。
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