Luo Feixiang, Sun Meiqin, Jin Chendi, Shou Yuding, Zhu Jihua, Chen Zheng
Neonatal Intensive Care Unit, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China.
Nursing Department, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China.
J Pediatr Nurs. 2025 Jul-Aug;83:114-117. doi: 10.1016/j.pedn.2025.04.031. Epub 2025 May 3.
This case report details the preoperative nursing care for a pair of premature symmetrical abdominal conjoined twins, highlighting the specialized strategies employed for successful separation surgery and postoperative recovery.
The conjoined twins, born with a complex congenital condition, required tailored nursing interventions. Key aspects included bed unit planning, body temperature maintenance, identification protocols to prevent errors, and positioning management to reduce disturbances. Infection control was enhanced due to the shared anatomy, and accurate weight measurement was critical for nutritional management and medication dosing.
The twins underwent separation surgery on hospital day 41. Postoperative recovery was smooth, with Twin A discharged on day 8, and Twin B following a procedure on postoperative day 7 and discharged on day 41.
The case illustrates the importance of comprehensive and individualized preoperative nursing care for conjoined twins. The successful outcome underscores the need for specialized protocols and highlights the potential for the specific nursing strategies we used to improve outcomes in similar clinical scenarios.
The implications to practice highlight the need for individualized preoperative care for conjoined twins. Nursing practice should focus on creating specialized protocols, enhancing interdisciplinary collaboration, and providing training for staff. Additionally, family-centered support services are essential for addressing emotional challenges.
本病例报告详细介绍了一对早产对称腹部联体双胎的术前护理，重点阐述了为成功进行分离手术及术后恢复所采用的专门策略。
这对联体双胎出生时患有复杂的先天性疾病，需要量身定制的护理干预措施。关键方面包括病床单元规划、体温维持、防止差错的识别方案以及减少干扰的体位管理。由于共用解剖结构，加强了感染控制，准确的体重测量对于营养管理和药物剂量计算至关重要。
双胎在住院第41天接受了分离手术。术后恢复顺利，A胎于第8天出院，B胎在术后第7天接受了一次手术后于第41天出院。
该病例说明了为联体双胎提供全面且个性化术前护理的重要性。成功的结果强调了制定专门方案的必要性，并突出了我们所采用的特定护理策略在类似临床情况下改善结局的潜力。
对实践的启示强调了为联体双胎提供个性化术前护理的必要性。护理实践应注重制定专门方案、加强跨学科协作以及为工作人员提供培训。此外，以家庭为中心的支持服务对于应对情感挑战至关重要。
