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印度首次尝试为一对头部相连双胞胎做“分头”手术
2017-08-29 11:30:34 中国青年网
据《印度时报》8月29日报道,印度一家医院在8月28日首次尝试分离一对头部连体的双胞胎。该手术从28日上午9点左右开始,截至印度《印度时报》29日凌晨2点发稿,手术仍然在进行。
该手术是在全印度医学科学院(AIIMS)进行的。一位医生说,“我们希望能挽救这两个人,但即使其中一个双胞胎幸存了下来,这也将是一个历史性的成就。”
报道指出,头部相连的双胞胎非常罕见,在2500万活产儿中才会遇到一次,这个数字大概是印度每年的新生儿总数。大约有四成头部连体的双胞胎在出生时死亡,另外有三成会在24小时内死亡。自1952年以来,全世界只开展过50例尝试将头部连体的双胞胎分开的手术,而手术成功率低于25%。在婴儿两岁和三个月大的情况下,手术更复杂,因为他们分享了从大脑中返回心脏的血液。
外科医生计划创建一个替代的静脉通道,切开皮肤,然后在手术的第一阶段分离出大脑,然后进行完全分离和缝合。
一位医生称,“如果成功的话,将其分离的尝试将会带来希望,并检测前沿科学。”近20名来自儿科神经外科、神经麻醉、整形外科和心血管科学的专家参与了这次手术,还有一名日本专家也参与了这一手术。
报道说,即使是AIIMS的神经外科医生最初也对分离这对双胞胎感到怀疑。一位外科医生说,“在过去的一个月里,我们对双胞胎的大脑结构进行了多次磁共振成像和血管造影检查。我们对世界范围内关于进行这样的手术的资料文献进行详细阅读,甚至联系了一些做过手术的外科医生。最后,我们决定进行手术,希望至少能挽救双胞胎中的一个。”
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