Golz N, Kramer D, Robrecht D, Mast H
Geburtshilfe Frauenheilkd. 1984 Dec;44(12):816-8. doi: 10.1055/s-2008-1036526.
Two cases of abdominal pregnancy are presented. Since this type of pregnancy has an incidence rate of 1.6% of all ectopic pregnancies only, it must be classified as a rare occurrence. Even more so, an advanced abdominal pregnancy with a viable foetus is an absolute rarity. The most frequent signs are abdominal pain, nausea and vomiting, unclear blood loss, and painful foetal movements. If the diagnosis is clear in an early stage of pregnancy, rapid laparotomy is mandatory. In advanced pregnancy with viable foetus, the viability must be improved under clinical control. After delivery, management of the placenta is the greatest problem. The best results are obtained if the placenta can be removed safely. If it must be left in situ, the effectivity of methotrexate therapy has not been established.
本文报告了两例腹腔妊娠病例。由于这种类型的妊娠仅占所有异位妊娠的1.6%，因此必须归类为罕见情况。更确切地说，晚期腹腔妊娠且胎儿存活绝对罕见。最常见的症状是腹痛、恶心和呕吐、不明原因的失血以及胎儿活动时疼痛。如果在妊娠早期诊断明确，必须迅速进行剖腹手术。在晚期妊娠且胎儿存活的情况下，必须在临床监测下提高胎儿的存活率。分娩后，胎盘的处理是最大的问题。如果能安全取出胎盘，效果最佳。如果必须将其留在原位，甲氨蝶呤治疗的有效性尚未得到证实。
