NURSING OF TWO CASES OF CONJOINED TWINS WITH
EXCLUSION OPERATION
Xi Min, Zhu YP, Qiu JA, Yao
LQ, Dan HY
Xinqiao Hospital,
Chongqing, China
We
succeeded in operationg on two cases of conjoined premature twins on
November 1996 and on August 2000 respectively, one case was throacodelpus,
and the other was thoracic-abdomina. The birth weights were 4125g and 3700g
respectively.
The base nursing for the babies was reinforced. We
took the methods by nipping and tractiving abdominal wall to relax muscles
and enlarge abdominal cavity to assure closing the whole abdominal wall
successfully.
After
operation, we supervised the T.P.R., Bp, CVP, SaO2 and rhythm of heart in
real time. We paid more attentions to prevent the wound, the lung and
Enterocelia from infection in order to decrease the incidence rate of
complications, especially the peritonitis causing by the cross section bleeding and bilis
fistula.