Snyder T, delCastillo J, Graff J, Hoxsey R, Hefti M
Department of Medicine, Northwestern University Medical School, Chicago, Illinois.
Ann Emerg Med. 1988 Aug;17(8):846-9. doi: 10.1016/s0196-0644(88)80569-9.
We report two cases of heterotopic pregnancy in women who were previously infertile. One of these patients conceived with the aid of ovulation stimulatory drugs, and the other from in vitro fertilization. In each case an ultrasound of the pelvis revealed a viable intrauterine pregnancy (twins in one case). Both patients presented in hypovolemic shock and required exploratory laparotomy. At the time of surgery a ruptured ectopic pregnancy with accompanying hemoperitoneum was found in each. Simultaneous ectopic and intrauterine pregnancy, though rare, should be suspected in patients who conceive with the aid of ovulatory drugs or in vitro fertilization.
我们报告了两例既往不孕女性发生的异位妊娠病例。其中一名患者借助促排卵药物受孕，另一名患者通过体外受精受孕。在每例病例中，盆腔超声均显示宫内有活胎妊娠（其中一例为双胎）。两名患者均出现低血容量性休克，需要进行剖腹探查术。手术时，每例均发现异位妊娠破裂并伴有腹腔内出血。对于借助促排卵药物或体外受精受孕的患者，应怀疑同时存在异位妊娠和宫内妊娠，尽管这种情况很罕见。
