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衢州化工公司职工医院妇产科一孕妇经剖腹产娩出一个双头联体畸形儿,其中左胎为无脑及脊柱裂畸形.此种畸形较少见.1 女胎,第一胎足月分娩,体重4.45kg,身长55cm,有双头.右头五官端正,头颅正常,向右偏斜约60°,头围39cm.左头五官正常,较右头小,向左偏斜约45°,无脑,伴有颅裂及脊柱裂,颈部短,头后仰.其头顶部、项背部中间覆盖有灰褐色薄膜.纵行剖开薄膜,见其内无脑,无脊髓,仅在尾侧可见数条细小的脊神经根.从颅裂前端至脊柱裂后端长13.8cm,颅裂宽7.2cm.在胸部两侧见两个上肢,形态正常.在两头之间的背侧,可见长4.5cm,粗4.2cm的圆形隆起肢芽,表面光滑,无手指可见.臀部及两下肢为双胎所共有,形态正常.剖开胸廓,可见胸骨呈“丫”形,有一个胸骨体,两个胸骨柄.胸腔内有两个胸腺,两个心脏,每个心脏两侧各有一肺,共有四个肺,未曾扩张.两侧心肺之间有胸膜分隔.腹脏内脏一套,为两胎所共有,形态正常.
Quzhou Chemical Company staff hospital obstetrics and gynecology a pregnant woman by c-section delivery of a double-deer conjoined children, including the left fetus without brain and spina bifida malformations such rarer .1 female fetus, the first child full-term delivery, Weight 4.45kg, length 55cm, a double head right facial features, head normal, the right deviation of about 60 °, head circumference 39cm. Left normal, smaller than the right, left skewed about 45 °, no Brain, accompanied by craniofacial and spina bifida, short neck, head back, the top of the head, the back of the middle covered with taupe film.Wide longitudinal dissection of the film, see its no brain, no spinal cord, only the caudal Several small spinal nerve roots can be seen from the anterior cranial fissure to the posterior end of the spine length 13.8cm, cranial fissure width 7.2cm .In the chest on both sides of the two upper extremities, normal .In the back between the two can be seen long 4.5 cm, 4.2cm thick round bulging limb bud, the surface is smooth, no finger visible.Hip and two limbs for the twins were common, normal morphology.Section chest, the sternum was “Ah” shape, there is a sternal body, two There are two thymus in the chest cavity, two heart, each lung has a lung on each side, a total of four lungs, never dilated. There are pleural separation between the heart and lung on both sides. A dirty, two common fetal, normal morphology.