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本文引用的文献

1
Methotrexate for ectopic pregnancy: when and how.氨甲蝶呤治疗宫外孕：何时及如何应用。
Arch Gynecol Obstet. 2014 Sep;290(3):417-23. doi: 10.1007/s00404-014-3266-9. Epub 2014 May 4.
2
Naturally occurring heterotopic pregnancy in a multiparous patient: a case report.一例经产妇自然发生的异位妊娠：病例报告
J Reprod Med. 2013 Nov-Dec;58(11-12):541-4.
3
Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location.诊断异位妊娠和不明位置妊娠管理的当前概念。
Hum Reprod Update. 2014 Mar-Apr;20(2):250-61. doi: 10.1093/humupd/dmt047. Epub 2013 Oct 6.
4
ISUOG practice guidelines: performance of first-trimester fetal ultrasound scan.国际妇产科超声学会（ISUOG）实践指南：孕早期胎儿超声检查的实施
Ultrasound Obstet Gynecol. 2013 Jan;41(1):102-13. doi: 10.1002/uog.12342.
5
Combined pregnancy: the Mount Sinai experience.合并妊娠：西奈山医疗中心的经验
Obstet Gynecol Surv. 1986 Oct;41(10):603-13.

经自然受孕，一名经产妇发生了异质性妊娠破裂。

Natural conception resulting in a ruptured heterotopic pregnancy in a multiparous woman.

作者信息

Shenoy Vimal B, Buckley C J

机构信息

Department of Emergency Medicine, Baylor Scott and WhiteTempleTexas.

出版信息

Proc (Bayl Univ Med Cent). 2019 Oct 14;33(1):93-94. doi: 10.1080/08998280.2019.1670324. eCollection 2020 Jan.

DOI:10.1080/08998280.2019.1670324
PMID:32063785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6988696/
Abstract

A 31-year-old multigravida woman 16 weeks pregnant by natural conception presented with right lower abdominal pain and bloody emesis. She was hypotensive and anemic with hemoperitoneum resulting from rupture of an ectopic pregnancy. At operation, she was found to have a right tubal heterotopic pregnancy with attachments to the appendix and omentum.

摘要

一名31岁经自然受孕怀孕16周的多产妇，出现右下腹痛和血性呕吐物。她因异位妊娠破裂导致腹腔积血，出现低血压和贫血。手术时发现她右侧输卵管存在异位妊娠，且与阑尾和大网膜相连。