This case involved the care of premature symmetrical abdominal conjoined twins,and preoperative nursing for one newborn with complex congenital heart disease. The nursing points included planning the bed unit well and selecting a cultivation box with a large spatial area to maintain the stable body temperature of the twins,ensuring proper identification through careful labeling,using appropriate props for position management to reduce the incidence of head deformities,arranging the position of the non-operative twin according to examination requirements,implementing prevention measures to avoid infection related to the conjoined anatomy,evaluating the physiological status of the twins and providing individualized care,accurately measuring the weight of the conjoined twins to provide a basis for nutritional and medication strategies. The separation surgery was successfully performed on day 41 of hospitalization,and newborn A was discharged smoothly on the 8th day after surgery,and newborn B was discharged from the hospital on the 41st day after surgery.
SUN Meiqin
,
LUO Feixiang
,
FAN Xiaoyan
. Preoperative nursing of separation surgery in a case of symmetrical abdominal conjoined twins[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023
, 4(10)
: 920
-922
.
DOI: 10.3761/j.issn.2096-7446.2023.10.011
[1] 王敏,朱海涛,董晨彬,等. 联体儿分离术手术方式改进与预后[J]. 中华小儿外科杂志,2019,40(3):216-221.
Wang M,Zhu HT,Dong CB,et al.Improvements of separation surgeries and prognosis of conjoined twins[J]. Chin J Pediatr Surg,2019,40(3):216-221.
[2] Bahador A,Nikeghbalain S,Foroughi M,et al.Successful surgical separation of thoraco-omphalopagus symmetrical conjoined twins in Iran:two case reports[J]. Iran J Med Sci,2020,45(2):143-147.
[3] 颜斌,余家康,钟微,等. 4例胸腹联体婴儿术前评估策略及手术时机探讨[J]. 临床小儿外科杂志,2019,18(4):304-309,314.
Yan B,Yu JK,Zhong W,et al.Preoperative evaluation strategy and operative opportunity of 4 cases of thoracoabdominal conjoined infant[J]. J Clin Pediatr Surg,2019,18(4):304-309,314.
[4] 崔焱,张玉侠. 儿科护理学[M]. 7版. 北京:人民卫生出版社,2021:147.
Cui Y,Zhang YX.Paediatric nursing[M]. 7th ed. Beijing:People's Medical Publishing House,2021:147.
[5] 商祯茹,罗飞翔,朱海虹,等. 一种二合一腹部保暖防惊跳包被:CN215422848U[P].2022-01-07.
Shang ZR,Luo FX,Zhu HH,et al. Two-in-one belly warm-keeping fright-preventing quilt:CN215422848U[P].2022-01-07.
[6] Bergner EM,Gollins L,Massieu LA,et al.Nutritional considera-tions in the care of conjoined twins[J]. Semin Perinatol,2018, 42(6):355-360.
[7] Foster JP,Psaila K,Patterson T. Non-nutritive sucking for in-creasing physiologic stability and nutrition in preterm infants[J]. Cochrane Database Syst Rev,2016,10(10):CD001071.
