Mabogunje O A, Lawrie J H
Arch Dis Child. 1980 Aug;55(8):626-30. doi: 10.1136/adc.55.8.626.
12 cases of conjoined twins from West Africa were reported between 1936 and 1978. Eight sets were liveborn and were surgically separated either in local hospitals or abroad. Four were stillborn. Two new cases of stillborn conjoined twins were recently delivered at this hospital. The most common type and the ones most likely to be born alive were the omphalopagi. Surgical separation was successful in 5 cases but the twins separated at Zaria died about a month later. Emergency operations were performed on the pygopagus and ischiopagus, and one member of the former but both of the latter died. The thoracopagus and dicephalus twins were stillborn. However, necropsy findings in one of the thoracopagi indicate that surgical separation would have been feasible had the twins been born alive. The internal mechanical factors causing cardiac defects in such twins may be relevant to the study of the pathogenesis of congenital cardiac malformations.
1936年至1978年间，报道了12例来自西非的联体双胎病例。其中8例为活产，在当地医院或国外接受了手术分离。4例为死产。最近这家医院又接生了2例联体双胎死产病例。最常见且最有可能存活出生的类型是胸部相连双胎。5例手术分离成功，但在扎里亚分离的双胎约一个月后死亡。对臀部相连双胎和坐骨相连双胎进行了急诊手术，前者的一名成员死亡，后者的两名成员均死亡。胸部相连双胎和双头双胎为死产。然而，其中一例胸部相连双胎的尸检结果表明，如果双胎为活产，手术分离本应是可行的。导致此类双胎心脏缺陷的内部机械因素可能与先天性心脏畸形的发病机制研究相关。
