Freeman N V, Fahr J, Al-Khusaiby S
Department of Paediatric Surgery, Royal Hospital, P. O. Box 1331, C. P. O. Seeb Airport, Sultanate of Oman. 111.
Pediatr Surg Int. 1997 Apr;12(4):256-60. doi: 10.1007/BF01372144.
Premature male ischiopagus tetrapus twins weighing 2.2 kg were born unexpectedly. They required initial ventilation for respiratory distress syndrome and an emergency laparotomy for intestinal obstruction at 10 days of age. At 8 months of age, formal separation was carried out. Primary skin closure was possible without the use of any tissue expander. Anaesthesia was supplemented with continuous intra- and post-operative epidural analgesia, with great benefit. Both twins are alive and well 18 months after surgery. Details of the anatomical findings and preparation for surgery are discussed.
一对早产的男性坐骨连体四足双胞胎意外出生，体重2.2千克。他们因呼吸窘迫综合征起初需要通气支持，并在10日龄时因肠梗阻接受了急诊剖腹手术。8月龄时进行了正式分离手术。无需使用任何组织扩张器即可实现一期皮肤闭合。麻醉辅以术中及术后持续硬膜外镇痛，效果良好。术后18个月，双胞胎均存活且状况良好。本文讨论了解剖学发现及手术准备细节。
