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[一种特殊的休克状态:异位妊娠自发性破裂]

[A particular state of shock: spontaneous rupture of a heterotopic pregnancy].

作者信息

Azongmo M, Zhu L, Lorenzo-Villalba N, Cardos B, Yerna M, Ali D

机构信息

Service des Urgences, CHU Liège, Belgique.

Service des Urgences, Hôpital de Jolimont, La Louvière, Belgique.

出版信息

Rev Med Liege. 2023 Jan;78(1):21-23.

PMID:36634062
Abstract

Heterotopic pregnancy is a rare pathology. It is defined as the coexistence of an intrauterine pregnancy and an extrauterine pregnancy, whatever its location. The presence of an intrauterine pregnancy in a woman of childbearing age does not therefore exclude the presence of an associated ectopic pregnancy. Late diagnosis can lead to fatal consequences for the mother, subsequent fertility as well as for the intrauterine pregnancy. We report the case of a 28-year old female patient, without any notion of assisted reproduction, who was admitted to the emergency department for hemorrhagic shock. The diagnosis of ruptured tubal heterotopic pregnancy was made intraoperatively.

摘要

异位妊娠是一种罕见的病理情况。它被定义为宫内妊娠和宫外妊娠同时存在,无论宫外妊娠位于何处。因此,育龄期女性存在宫内妊娠并不排除同时存在相关的异位妊娠。诊断延迟可能会对母亲、后续生育能力以及宫内妊娠造成致命后果。我们报告一例28岁女性患者的病例,该患者无任何辅助生殖史,因失血性休克被收入急诊科。术中诊断为输卵管异位妊娠破裂。

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