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剑突—脐联体双胎分离手术前后的儿科处理初探
PRELIMINARY SURVEY OF THE MANAGEMENT OF A CONJOINED TWINS BEFORE AND AFTER OPERATION
【摘要】 本文报导剑突至脐孔联体男婴一对,共重4400g,肝方叶呈实质性融合,各有独立的胆道系统和消化道。于生后28天行联体分离术获得成功,术中肝断离面为3cm×6cm。术后经过不平稳,大双曾患败血症,经积极处理,手术后58天,两婴健康出院。
【Abstract】 A pair of male conjoined twins uniting from xiphoid to umbilicus was repor- ted.Their body weight amount to 4400g,with a independent bilary tract and digestive system,but liver appears parenchymatous fusion.The excl usion was made successfully on the 28th day after birth.The seperated section of liver was 3cm×6cm.After operation the elder baby suffered from septice- mia,and recovered quickly after proper management.The two seperated conjoined twins discharged healthily on the 58th day after operation.
【关键词】 联体双胎;
分离;
手术前监护;
手术后监护;
【Key words】 Twins Conjoined exclusion Preoperative care Postopeiative care;
【Key words】 Twins Conjoined exclusion Preoperative care Postopeiative care;
- 【文献出处】 贵阳医学院学报 ,Journl of Guiyang Medical College , 编辑部邮箱 ,1987年04期
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