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1989～1991年作者在非洲某国首都医院工作期间接收分娩8371例,其中5例腹腔妊娠(1例合并宫内妊娠)。腹腔妊娠合并宫内妊娠的产妇停经后自觉有胎动。第1次B超检查拟诊“足月妊娠并卵巢瘤”,第2次B超检查拟诊“双胎”。入院当晚经阴道顺娩一女婴,腹部仍膨隆。第3次B超拟诊“腹腔妊娠”。次日(即第一胎顺娩后2天),行剖腹探查术,从腹腔羊膜囊取出一活男婴,重3600g,胎盘与腹膜、肠管、肠系膜、大网膜粘连紧密,剥离困难,切除部分未与重要组织粘连的胎盘。产妇于术后20天开始发热、心悸,以心肌炎合并心衰治疗无
During 1989-1991, the author received 8,371 childbirths during his work in Capital Hospital of a country in Africa, including 5 cases of intrauterine pregnancy (1 with intrauterine pregnancy). Abdominal pregnancy with intrauterine pregnancy after maternal menopause conscious fetal movement. The first B-check to be diagnosed “full-term pregnancy and ovarian tumor”, the second B-check to be diagnosed “twin.” On the night of admission a vaginal delivery of a baby girl, the abdomen is still bulging. The third B-hyper-diagnosis “abdominal pregnancy.” The next day (that is, the first child after delivery 2 days), laparotomy exploration, removal of a live baby boy from the peritoneal amniotic sac, weighing 3600g, placenta and peritoneum, bowel, mesentery, omentum adhesions close, stripping difficulties, resection Part of the placenta that does not adhere to important tissues. Maternal 20 days after the onset of fever, palpitations, myocarditis combined with heart failure without treatment