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九个月大！萨城头部连体婴儿成功分离！
（KCRA）Girls underwent marathon 24-hour surgery at UC Davis Medical Center
女孩们在加州大学戴维斯医疗中心接受了马拉松式的24小时手术
Sacramento twin girls conjoined by their heads were successfully separated at UC Davis Medical Center this weekend.
萨克拉门托州的一对头部连体的女婴于本周末在加州大学戴维斯医学中心成功分离。
Nine-month-old Abigail and Micaela Bachinskiy underwent a marathon 24-hour surgery. The girls are joined by the skull, soft tissues and brain — known as craniopagus.
九个月大的阿比盖尔和米凯拉接受了24小时马拉松手术。女孩们的颅骨、软组织和大脑相连，被称为颅骨。
“It’s a very, very rare anomaly,” UC Davis Children’s Hospital Pediatric Neurosurgeon Dr. Michael Edwards said. “There are very few children born in any one year worldwide that have this anomaly, and of those, there’s only a much smaller subset that the anatomy is
加州大学戴维斯儿童医院的儿科神经外科医生迈克尔·爱德华兹说:“这是一种非常、非常罕见的异常现象。”“世界上任何一年出生的孩子都很少有这种异常，这些孩子中只有很小一部分人有这种异常
fortuitous enough to be able to attempt a separation — and hopefully come out with two healthy babies.”
幸运的是，我可以尝试分开，希望能生下两个健康的宝宝。”
Parent Liliya Mirochnik and Anatoliy Bachinskiy discovered the twins were conjoined when Liliya was 11 weeks pregnant.
父母莉莉娅·米罗奇尼克和阿纳托利·巴金斯基在莉莉娅怀孕11周时发现这对双胞胎是连体的。
“It was very tough. I just was shocked. I couldn’t process,” Mirochnik said. “When I got home my husband said that everything will be good. We will get through it. This is our kids. We already love them.”
“这非常艰难。我很震惊。我无法处理，”米罗尼克说。“我回到家，丈夫说一切都会好起来的。我们会挺过去的。这是我们的孩子。我们已经很喜欢他们了。”
The couple, who celebrated their 10th wedding anniversary in August, have three boys in addition to the twins.
这对夫妇在今年8月庆祝了结婚10周年纪念日，除了双胞胎外，他们还生了三个男孩。
“I still feeling like I am living someone else’s life and not mine,” Mirochnik explained. “It’s so crazy, I don’t even know how to describe to be honest. But I do know that we trust Lord in all of these situations. So, that brings me peace. But my other side, inside me, go crazy as a mother.”
“我仍然觉得我过着别人的生活，而不是我自己的生活，”米罗尼克解释道。“这太疯狂了，说实话，我都不知道该怎么形容了。但我知道，在所有这些情况下，我们都信靠主。这给我带来了平静。但我的另一面，我的内心，像母亲一样疯狂。”
The girls will be 10 months old on Friday.
到星期五，女儿们就10个月大了。
“They both are really happy babies. Not fussy ones. Very happy, always laughing, smiling, positive,” Mirochnik said. “(They are) very different. One is more dominating. But the other is more like a lady — very calm, very gentle. But the other is very active. She is a leader for sure.”
“他们都是非常快乐的宝宝。不挑剔的人。非常高兴，总是笑，微笑，积极，”米罗尼克说。“(他们)非常不同。其中一个更重要。但另一个更像一位女士——非常平静，非常温柔。但另一个非常活跃。她肯定是个领袖。”
After a few months at home in Sacramento County, the twins were re-admitted back into UC Davis Medical Center in June to prepare for surgery.
在萨克拉门托县的家中待了几个月后，这对双胞胎于6月再次被送往加州大学戴维斯医疗中心，为手术做准备。
“We’ve spent a lot of time — five months — studying this from all different ways,” Dr. Edwards explained. “We’ve made 3D models. We’ve looked at some form of altered reality, virtual reality, augmented reality to help us understand the anatomy better.”
爱德华兹博士解释说:“我们花了很多时间——五个月——从不同的角度研究这个问题。”“我们制作了3D模型。我们研究了某种形式的改变现实、虚拟现实、增强现实，以帮助我们更好地了解解剖学。”
Meticulous preparation included virtual reality dry runs, as well as a mock separation surgery with dolls conjoined like Abigail and Micaela. The preparation was fine tuned down to color coding the medical team purple and orange—a color for each baby.
细致的准备工作包括虚拟现实演练，以及用像阿比盖尔(Abigail)和米凯拉(Micaela)这样连在一起的洋娃娃进行模拟分离手术。准备工作经过了微调，用紫色和橙色来标示医疗队——每个婴儿的颜色。
“It is choreographed much as in a ballet or any state production so that everybody knows their role,” UC Davis Pediatric Plastic Surgeon Dr. Granger Wong said. “Now we can actually have a model and actually do the surgery on the model beforehand. So, all this practice and all this planning can go into the operation before it even happens-- therefore taking out a lot of the guesswork.”
加州大学戴维斯分校的儿童整形外科医生格兰杰·黄博士说:“它的编排就像芭蕾舞或任何国家制作的舞蹈，这样每个人都知道自己的角色。”“现在我们可以有一个模型，并在模型上预先做手术。所以，所有这些实践和所有这些计划都可以在行动之前就开始实施——这样就省去了很多猜测。”
The conjoined twins also went through a tissue expander procedure four months before surgery to ensure each has enough skin following separation.
手术前4个月，这对连体双胞胎还接受了组织扩张手术，以确保分离后每个人都有足够的皮肤。
“Where they are joined together, there is no skin currently, and we will have to replace skin on both twins once they are divided,” Dr. Wong explained. “It’s made specifically to fit these dimensions, to fit in this little trough where the babies are connected. And then this will gradually increase in size.”
“它们连在一起的地方，目前还没有皮肤，一旦它们分开了，我们就得给它们换掉皮肤，”黄医生解释说。“它是专门为了适应这些尺寸而设计的，为了适应这个婴儿连接的小槽。然后它会逐渐增大。”
The tissue expander was injected with medical sterile saline.
组织扩张器注射医用无菌生理盐水。
“Which would then expand the scalp. And once the scale is up to full dimensions of what we’ve already planned, we know that we have gained the necessary skin to cover the voids after separation,” Dr. Wong said. “We have a certain window that we would like to take advantage of — just developmentally.”
这样就会扩大头皮。一旦规模达到我们已经计划的全部规模，我们知道我们已经获得了必要的皮肤，以覆盖分离后的空隙，”黄博士说。“我们有一个我们想要利用——只是发育上的。”
The twin girls will be weeks at the Pediatric Intensive Care Unit (PICU) continuing to heal and defy odds.
这对双胞胎女孩将在儿科重症监护室(PICU)度过数周，继续康复，克服困难。
“It’s very new. No one knows how it’s going to end. Because it is very unique, and it all depends how they will go, what their bodies will go through. I have a feeling everything will be OK,” Mirochnik said. “It’s all in God’s hands. It’s not even in doctor’s hands. That’s what I believe.”
“它很新。没有人知道它将如何结束。因为这是非常独特的，这完全取决于他们将如何进行，他们的身体将经历什么。我有一种感觉，一切都会好起来，”米罗尼克说。“一切都在上帝的掌握之中。它甚至不在医生的手里。这就是我所相信的。”
Mirochnik added they have already met a family in a similar situation. In 2016, Sacramento conjoined twins Erika and Eva Sandoval were separated by their torso at Lucile Packard Children's Hospital Stanford.
米罗奇尼克补充说，他们已经遇到了一个处境类似的家庭。2016年，在斯坦福大学露西尔·帕卡德儿童医院(Lucile Packard Children’s Hospital Stanford)，萨克拉门托的连体双胞胎埃里卡(Erika)和伊娃·桑多瓦尔(Eva Sandoval)身体分开。
The Sandoval twins are now 6 years old and are thriving first graders.
这对桑多瓦尔双胞胎现在6岁了，正在上一年级。
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发表于 2020-10-29 13:36:27
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