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帕拉帕斯·迪塞法卢斯·迪普斯·特里布拉基乌斯 (Parapagus dicephalus dipus tribrachius) 联合双胞胎:一个案例报告

Mwaba Kopa¹, Lukundo Siame², Michelo Haluuma Miyoba^3,4

¹Livingstone University Teaching Hospital, Department of Pediatrics, Livingstone, Zambia.

The Pan African medical journal

|June 26, 2025

概括

结合双胞胎是一种罕见的妊娠并发症,需要早期产前诊断. 这一案例凸显了常规早期异常扫描的关键需求,以改善这些罕见出生的结果.

科学领域:

周围生理学周围生理学
孕产妇和胎儿医学孕产妇和胎儿医学
遗传异常是一种先天性异常.

背景情况:

结合双胞胎是由于胚胎不完全分裂而产生的,在受精后13-14天左右的单胞胎单子妊娠中.
每10万活产婴儿中约有1.47例发生这种情况,并列双胞胎带来了重大管理挑战.

研究的目的:

报告一种罕见的帕拉帕斯·迪塞法卢斯·迪普斯·特里布拉基乌斯 (dicephalus dipus tribrachius) 连体双胞胎病例.
强调早期产前异常检测的重要性.
倡导在联合双胞胎怀孕中及时进行干预.

主要方法:

一个17岁的原发性怀孕的案例报告.
第三个三个月的超声波用于诊断.
选择性的剖腹产分娩.剖腹产分娩.
分享心脏结构的产后检查.

主要成果:

诊断 parapagus dicephalus dipus tribrachius 结合双胞胎的情况. 这种情况通常发生在双胞胎之间.
双胞胎共享一个心脏与复杂的异常 (3室,2心房,ASD,AV膜无能).
婴儿在分娩后20天死于败血症.

结论:

晚期诊断在这种情况下限制了干预选择.
在第二个三个月的常规早期异常扫描是至关重要的.
及时检测可以改善联合双胞胎的管理和结果.

关键词:

结合双胞胎是什么意思结合双胞胎案例报告案例报告有先天性异常.一种单子的单子 (Monochorionic)帕拉帕格斯·迪塞法卢斯·迪塞法卢斯

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