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自然受孕周期中出现输卵管破裂的异位妊娠：一例病例报告及文献复习

Heterotopic pregnancy in a natural conception cycle presenting with tubal rupture: a case report and review of the literature.

作者信息

Varras Michael, Akrivis Christodoulos, Hadjopoulos Grigorios, Antoniou Nikolaos

机构信息

Department of Obstetrics and Gynaecology, G. Chatzikosta, District General Hospital, Ioannina, Greece.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2003 Jan 10;106(1):79-82. doi: 10.1016/s0301-2115(02)00154-9.

DOI:10.1016/s0301-2115(02)00154-9
PMID:12475588
Abstract

BACKGROUND

Heterotopic pregnancy is a potentially fatal condition, rarely occurring in natural conception cycles.

CASE

We report such a case in a 28-year old para 0, gravida 1 woman with no known risk factors. The ectopic pregnancy was diagnosed after rupturing at 11 weeks, 4 weeks after diagnosis of the intrauterine pregnancy, and resected via laparotomy. A healthy baby was delivered without complications at 40 weeks gestation.

CONCLUSION

Heterotopic pregnancy is possible with natural conception and the survival of the intrauterine fetus is feasible.

摘要

背景

异位妊娠是一种潜在的致命情况，在自然受孕周期中很少发生。

病例

我们报告了一例28岁、未育、初孕且无已知危险因素的女性病例。异位妊娠在孕11周破裂后被诊断出来，此时距诊断宫内妊娠已有4周，通过剖腹手术切除。孕40周时顺利产下一名健康婴儿，无并发症。

结论

自然受孕时可能发生异位妊娠，宫内胎儿存活是可行的。

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