■连体双胞胎是一种罕见的先天性异常,其特征是某些解剖结构的融合。冠状病毒-19(COVID-19)是一种新出现的传染性呼吸道疾病,影响全球,并可能导致儿童急性呼吸窘迫(ARDS)。COVID-19重建了医疗保健系统,包括外科护理和决策。
■在这里,我们描述了一个手术分离2.5个月大的脐眼连体双胞胎,其中一人(婴儿A)出现COVID-19相关的呼吸窘迫,以及在准备和执行复杂外科手术过程中面临的挑战。
■婴儿A接受了抗病毒治疗,氧气补充,和ICU的通风,而婴儿B保持稳定,并确认SARS-CoV-2阴性。在婴儿A变得临床稳定后进行分离手术。完成了缺陷闭合和重建。在一周的随访中,婴儿A死于肺部感染,而婴儿B在一年后仍然很好。
■手术分离的复杂性需要多学科团队的精心计划。大流行时期连体双胞胎的手术分离在文献中报道不多,需要更多的报告来提供进一步的见解。
UNASSIGNED: Conjoined twin is a rare congenital anomaly characterized by a fusion of certain anatomical structures. Coronavirus-19 (COVID-19) is a new emerging infectious respiratory disease affecting worldwide and potentially leads to acute respiratory distress (ARDS) in children. COVID-19 has reconstructed the healthcare system, including surgical care and decision-making.
UNASSIGNED: Herein we describe a surgical separation of 2.5 months old omphalopagus conjoined twins, with one of them (Baby A) presenting COVID-19-associated respiratory distress, as well as the challenges faced during the preparation and the execution of the complex surgical procedure.
UNASSIGNED: Baby A underwent antiviral therapy, oxygen supplementation, and ventilation in the ICU, while baby B remained stable and confirmed negative for SARS-CoV-2. The separation surgery was conducted after baby A had become clinically stable. Defect closure and reconstruction were accomplished. At one week follow-up, Baby A died of lung infection, while baby B remained well after one year.
UNASSIGNED: The complexity of surgical separation requires careful planning by a multidisciplinary team. Surgical separation of conjoined twins during the pandemic era has not been reported much in the literature, more
reports are required to provide further insight.