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本文收集1980年~1990年11年间子宫外孕313例,其中二次宫外孕者9例,现报告如下: 【例1】患者31岁,孕_5产_1。1984年3月28日入院。不规则阴道流血37天,伴下腹痛20天。宫颈举痛(++),后穹窿触及包块约5×6厘米,尿hCG(-),B超提示盆腔积液,后穹窿穿刺得不凝血。开腹手术为左侧输卵管伞端妊娠流产,右侧卵巢正常,未见输卵管。3年前因宫外孕切除了右侧输卵管。【例2】患者32岁,孕_(?)产_2,1985年1月4日入院。闭经80天,不规则阴道流血3天,下腹痛1天。血压9.0/6.0kPa,面色苍白,腹部有移动浊音,血红蛋白60克/升。急诊手术见左侧输卵管间质部妊
This article collected from 1980 to 1990, 11 cases of 313 cases of ectopic pregnancy, of which 9 cases of second ectopic pregnancy, are reported as follows: [Example 1] patients 31 years old, pregnant _5 production _. 1984 March 28 admission. Irregular vaginal bleeding 37 days, with abdominal pain for 20 days. Cervical pain (++), after the vault touches the mass about 5 × 6 cm, urine hCG (-), B-Tip pelvic fluid, posterior fornix puncture without coagulation. Open surgery for the left side of the tubal umbrella end of pregnancy abortion, the right ovary normal, no fallopian tubes. 3 years ago due to ectopic pregnancy removed the right fallopian tube. [Example 2] Patient 32 years old, pregnant _ (?) _ 2, January 4, 1985 admission. Amenorrhea 80 days, irregular vaginal bleeding 3 days, abdominal pain 1 day. Blood pressure 9.0 / 6.0kPa, pale, abdominal dullness, hemoglobin 60 g / l. Emergency surgery see the left tubal interstitial pregnancy