宫内合并右侧输卵管妊娠术后三个月出现左侧输卵管双胎妊娠破裂在临床上比较少见,国内外资料也甚少报道。现将我院一例报道于下:患者,陆某某(住院号3007)女,28岁,壮族,干部,婚后6年,停经60天出现早孕反应。停经83天夜间无任何诱因突然下腹呈撕裂样疼痛,以右下腹为甚,肛门坠胀感阵发性腹痛加剧3小时入院。体温36℃,脉搏126次/分,呼吸26次/分,血压7.98/5.32kPa。重度贫血貌,大汗淋漓,心悸、(口恶)心、呕吐,呕吐物为胃内容物,全腹有压痛及反跳痛,腹肌紧张,叩诊移动性浊音明显,妇检阴道粘膜苍白,宫颈柱状,光滑、着色、后穹窿饱满,触痛明显,因腹肌紧张,双合诊子宫大小不清楚。行后穹窿穿刺抽出不凝固血液2ml,确诊为宫外孕破裂内出血休克,并行急诊剖腹探查,可见腹腔内 Intrauterine merger of the right tubal pregnancy three months after the emergence of the left tubal twin pregnancy rupture is relatively rare in the clinical data are rarely reported at home and abroad. Now a case report of our hospital in the following: patients, Lu Moumou (hospital number 3007) female, 28 years old, Zhuang, cadre, 6 years after marriage, menopause occurs 60 days early pregnancy reaction. Menopause 83 days without any incentive at night suddenly tear-like pain in the lower abdomen, the right lower abdomen is even more, anorexia bulge paroxysmal abdominal pain aggravated 3 hours admission. Body temperature 36 ℃, pulse 126 beats / min, breathing 26 beats / min, blood pressure 7.98 / 5.32kPa. Severe anemia, sweating, heart palpitations, (vomit) heart, vomiting, vomit for the stomach contents, the whole abdomen with tenderness and rebound tenderness, abdominal muscle tension, percussion mobile dullness significantly, vaginal mucosa pale vaginal discharge, Cervical columnar, smooth, colored, after the fornix full, tenderness obvious, due to abdominal muscle tension, double the size of the uterus unclear. Out of the culdocentesis not coagulation blood 2ml, diagnosed as ectopic pregnancy ruptured hemorrhage shock, parallel emergency laparotomy, visible intraperitoneal