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題 名 | Unusual Presentation of Heterotopic Pregnancy: A Case Report=子宮內三胞胎合併子宮外孕併發兩個胎兒流產:一病例報告 |
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作 者 | 蘇文祥; 王鵬惠; 張昇平; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:10 1998.10[民87.10] |
頁 次 | 頁608-612 |
分類號 | 417.347 |
關鍵詞 | 合併子宮內及子宮外妊娠; 流產; 輸卵管破裂; Heterotopic pregnancy; Spontaneous abortion; Tubal rupture; |
語 文 | 英文(English) |
中文摘要 | 子宮內與子宮外妊娠同時存在的情況在以往並不多見,但是在人工協助生殖技術 普遍之後,因此而懷孕的婦女有高達約1%的發生率,我們報告一罕見的子宮內三胞胎合併左 側輸卵管外孕的病例。該名24歲婦女在懷孕7週時,左側輸卵管破裂造成大出血及休克,子 宮內靠近左邊的兩個胚胎被發現心跳停止,而右邊的胚胎心跳仍然正常,患者於是接受緊急 手術切除破裂的輸卵管。患者術後情況穩定,胎兒也繼續存活,而且其後懷孕過程順利,最 後更於妊娠38週產下一女嬰,體重3,550公克。本文完成時該女嬰已年滿1歲,並未發現有任 何智力、神經系統或其它異常。造成胎兒流產的原因,可能是由於輸卵管破裂而造成大出血 ,使得同側的兩個胚胎供血不足,導致流產。基於本病例的經驗,對情況相似之患者,我們 建議在積極處理破裂的子宮外孕後,可以採取保守治療,嘗試保留存活的胎兒。 |
英文摘要 | The incidence of heterotopic pregnancy has been rising in recent years with the increased use of assisted reproductive techniques (ART). This report describes an unusual clinical presentation in a 24-year-old woman who had a combination of intrauterine triplets and a single intrafallopian pregnancy. Two fetuses located on the same side as the ectopic pregnancy demised after rupture of an ectopic pregnancy at seven weeks of gestation. After performing emergency exploratory laparotomy to manage the ruptured ectopic pregnancy, one intrauterine pregnancy continued smoothly, resulting in the delivery of a 3,550g normal baby at 38 weeks of gestation. The possible cause of fetal demise may have been the ruptured ectopic pregnancy of the left tube, which compromised the blood supply to the same side of the gestational sacs, but the sac implanted on the right side was compensated by prominent collateral circulation, although that remains a hyporthesis. To our knowledge, this is a novel report of such an occurrence. |
本系統中英文摘要資訊取自各篇刊載內容。