Delègue L, Ghnassia M D, Du Fontenioux T
Anesth Analg (Paris). 1980;37(3-4):155-68.
The authors relate the anesthetic and pre-, per- and post-operative care problems they had to meet with six pairs of siamese twins separated at the Hôpital des Enfants Malades (Paris), between 1960 and 1978. 77 cases of such anomalies have been reported since the beginning of the XXth century. The authors point out the importance of: 1) a precise pre-operative assessment of the anatomo- and physiopathological status of the conjoined twins, 2) an outstanding technical organization, 3) a medical and nursing team specialized in pediatric anesthesia and intensive care to face with the predictable and unpredictable problems which may occur, specially those which the clinical and paraclinical investigations have not been able to discover before the operation.
作者讲述了他们在1960年至1978年间，于巴黎儿童疾病医院为六对连体双胞胎进行分离手术时所遇到的麻醉以及术前、术中、术后护理问题。自20世纪初以来，此类异常情况已报告过77例。作者指出了以下几点的重要性：1）对连体双胞胎的解剖和生理病理状况进行精确的术前评估；2）出色的技术组织；3）一支专门从事小儿麻醉和重症监护的医疗护理团队，以应对可能出现的可预测和不可预测的问题，尤其是那些临床和辅助检查在手术前未能发现的问题。
