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二次宫外孕虽比较少见,但其后果较首次更为严重,值得临床重视。本文重点探讨二次宫外孕的发生及防治措施。一、病例介绍【例1】患者31岁,孕5产2,因下腹部持续性疼痛,伴恶心、呕吐、肛门坠胀3小时,于1987年8月5日入院。末次月经1987年7月17日,经量正常。患者曾于1987年6月7日因左侧输卵管间质部妊娠破裂出血行左侧输卵管全部切除术,因残端已达宫角部,未能用腹膜覆盖。检查:体温36.8℃,脉搏78次/分,血压13.3/9.3kPa。轻度贫血貌、心肺正常。妇科情况:外阴及阴道正常,宫颈无举痛,后穹窿不饱满,子宫前位,
Although the second ectopic pregnancy is relatively rare, but the consequences are more serious than the first, it is worth clinical attention. This article focuses on the occurrence of secondary ectopic pregnancy and prevention and treatment measures. First, the case introduction [Example 1] patients 31 years old, pregnant and 5 births 2, due to persistent pain in the lower abdomen, with nausea, vomiting, anus bilge 3 hours, on August 5, 1987 admission. The last menstrual July 17, 1987, the amount of normal. On June 7, 1987, the patient underwent total salpingo-tubal resection of the left lateral tubal due to rupture of the left lateral salvage tubal pregnancy because the stump reached the corner of the hips and was unable to cover with the peritoneum. Check: body temperature 36.8 ℃, pulse 78 beats / min, blood pressure 13.3 / 9.3kPa. Mild anemia appearance, normal heart and lungs. Gynecological conditions: normal vulva and vagina, no pain in the cervix, after the dome is not full, the anterior uterus,