宫内妊娠16周合并一侧输卵管妊娠破裂一例  

Intrauterine Pregnancy with Rupture of Fallopian Tube at 16 weeks:A Case Report

作　　者：贾红靖 钱永红[2] 梁宝权[2] 葛海云[2] JIA Hong-jing;QIAN Yong-hong;LIANG Bao-quan;GE Hai-yun(Ultrasound Center,Suzhou Municipal Hospital,Suzhou 215002,Jiangsu Province,China;Department of Obstetrics and Gynecology,Suzhou Municipal Hospital,Suzhou 215002,Jiangsu Province,China)

机构地区：[1]南京医科大学附属苏州医院超声中心,江苏省苏州市215002 [2]南京医科大学附属苏州医院妇产科,江苏省苏州市215002

出　　处：《国际妇产科学杂志》2020年第6期670-671,683,F0003,共4页Journal of International Obstetrics and Gynecology

基　　金：江苏省青年医学重点人才(QNRC2016243);江苏省妇幼保健科研项目(F201680)。

摘　　要：复合妊娠是较为罕见的妊娠类型,随着辅助生殖技术的发展,复合妊娠发生率逐年升高,诊断多在孕早期超声检查时发现。大部分患者在孕早期出现腹痛、阴道出血甚至出血性休克就诊而被发现,而孕周至孕中期复合妊娠极为罕见。现报道我院接诊1例孕16周复合妊娠患者,因同房后急腹痛不能忍受,急诊就诊当地医院超声检查提示宫内活胎,腹痛原因不能确诊,转我院后诊断为复合妊娠、输卵管妊娠破裂,急诊手术治疗,该病罕见,结合复习文献报道,以便临床对该病能够及时诊断和有效治疗。Compound pregnancy is a relatively rare type of pregnancy.With the development of assisted reproductive technology,the incidence of compound pregnancy is increasing year by year,and most of them were diagnosed by the ultrasound examination during the first trimester.Most patients have abdominal pain,vaginal bleeding and even hemorrhagic shock during the first trimester and are found,while compound pregnancy in the second trimester is extremely rare.It is reported that our hospital received a patient who could not tolerate acute abdominal pain during intercourse and her ultrasound examination in the emergency department of a local hospital showed a live intrauterine fetus and the cause of the abdominal pain could not be found.After being transferred to our hospital,the diagnosis turned to compound pregnancy and fallopian tube rupture and she underwent emergency surgery.We report this rare case with literature review in order to help with giving these patients timely diagnosis and effective treatment.

关 键 词：妊娠 异位 妊娠 输卵管 妊娠中期 休克 出血性 病例报告 

分 类 号：R714.2[医药卫生—妇产科学]