Heart surgery during and after the changes in plasma thyroid hormone.docVIP

 PAGE \* MERGEFORMAT 13 Heart surgery during and after the changes in plasma thyroid hormone Abstract Objective: abdominal separation of conjoined twins to provide Liantiyinger surgical treatments, surgery. Methods: Preoperative X-film, CT, MRI, and B extra fine diagnosed, the baby shared a conjoined liver, pericardium, diaphragm, sternum middle and 5 to 10 ribs attached to pleural close. There are 2 heart (A Baby B Baby heart broke into the pericardial cavity, and accompanied by atrioventricular septal defect), two digestive tract and biliary tract. After a positive preoperative preparation, nutrition and liver function improved in 45 days after birth in the multi-disciplinary collaboration successfully separated conjoined surgery. Results: Intraoperative see the abdominal cavity has its own digestive tract, the liver connected to a common area of about 7 cm * 6 cm, electric knife to open. Chest in the heart of infants see the two shared a pericardium, but also to be cut, using synthetic Dacron patch chip defect. Sternum, ribs were also cut. A baby’s chest with the medical silicone sheeting frame, be expanded. After two infants were alive. Conclusion: The preoperative Liantiyinger correctly assessed, the correct selection of anesthesia and surgical methods, postoperative intensive care is the key to successful operation. Keywords:: Twins, conjoined together fetal abdominal surgery Conjoined twins is a rare congenital malformation, the prevalence rate of 1 / 5 ~ 10 million, the majority of embryonic death at or shortly after birth, about 20 million births have more than one cases were still alive after birth, [1 ], can be very few cases of surgery; be successful separation surgery, after 2 babies are surviving quite rare [2,3]. Our hospital on January 21, 1999 Liantiyinger admitted to a pair of thorax and abdomen, and the successful separation surgery, patients survived. Are presented below. Clinical 1. General information: risk of infant A and B, are male