四次宫外孕足月妊娠分娩患者比较少见,我院收治1例,报道如下。患者30岁,婚后半年于1982年2月因停经48天,突发左下腹阵发性撕裂样痛,继之昏倒。入院后检查:急性血性腹膜炎体征,后穹窿穿刺抽出不凝血5ml,Hb60g/L。剖腹探查术中见:左侧输卵管峡部妊娠破裂,腹腔内积血2000ml,血块500g。切除左侧输卵管,病理报告为输卵管妊娠。第二次发病于1984年4月,停经86天,阵发性腹痛无阴道流血入院。检查:子宫略大,右附件区触及8cm×5cm×4cm包块,边界不清,不活动,后穹窿穿刺抽出陈旧不凝血3ml。子宫内膜活检为分泌期,间质呈蜕膜样变。诊断陈旧性宫外孕。口服宫外孕Ⅱ号方加减 Four ectopic pregnancy full-term pregnancy childbirth is rare, admitted to our hospital in 1 case, reported as follows. Patients 30 years of age, six months after marriage in February 1982 due to menopause 48 days, paroxysmal paroxysmal paroxysmal pain in the left lower abdomen, followed by fainting. After admission examination: signs of acute bloody peritonitis, culdocentesis not clotting out 5ml, Hb60g / L. Laparotomy in the see: the left fallopian tube isthmus rupture of pregnancy, intraperitoneal hemorrhage 2000ml, clot 500g. Resection of the left fallopian tube, pathological report for tubal pregnancy. The second incidence in April 1984, menopause 86 days, paroxysmal abdominal pain without vaginal bleeding admitted to hospital. Check: the uterus slightly larger, the right attachment zone touches 8cm × 5cm × 4cm mass, the border is unclear, inactivity, culdocentesis out of the old non-clotting 3ml. Endometrial biopsy for the secretion of interstitial decidual-like change. Diagnosis of old ectopic pregnancy. Oral ectopic pregnancy on the 2nd party addition and subtraction