我院于1995～1996年遇到宫内外同时妊娠2例,报告如下。 例1: 23岁,未婚,有性生活史,因停经41天,下腹部持续性撕裂样疼痛2天,加重4小时,伴恶心,呕吐,肛门下坠,阴道流血1天,量中,于1995年5月13日入院。 月经15 5/(40+)天,量中,暗红色,无血块及痛经史,末次月经1995年4月2日。 查体:腹肌紧,右下腹压痛明显,有移动性浊音,宫颈呈紫蓝色,抬举痛,后穹窿饱满,宫体40天孕大,稍软,编右,右侧附件可触及-10cm×10cm大小包块,与子宫关系密切,后穹窿穿刺,抽出5ml暗红色不凝血,尿妊免阳性。于当日急诊手术,术中觅:右侧输卵管壶腹部妊娠破裂,行右输卵管大部切除,病理报告为右侧输卵臂妊娠破裂。术后7天,因仍感恶心,厌油,查尿妊娠试验阳性,妇检:子宫40+孕大,质软,探宫腔9cm,刮出物可见完整绒毛囊,痊愈出院。 例2:30岁,婚后8年原发不孕,末次月经1996年6月18日,于1996年8月8日因停经50天,查尿 Our hospital in 1995 to 1996 met both intrauterine and extrauterine pregnancy in 2 cases, the report is as follows. Case 1: 23 years old, unmarried, with a history of sexual life, because of menopause 41 days, the lower abdomen persistent rip-like pain for 2 days, aggravating 4 hours, with nausea, vomiting, anal fall, vaginal bleeding for 1 day, May 13, 1995 admission. Menstruation 15 5 / (40+) days, volume, dark red, no blood clots and dysmenorrhea, the last menstrual April 2, 1995. Physical examination: tight abdominal muscles, right lower quadrant tenderness was obvious, shifting dullness, the cervix was purple blue, lift the pain, after the dome full, 40 days pregnant uterine body, a little soft, right and right accessories touches -10cm × 10cm size of the mass, closely related to the uterus, culdocentesis, out of 5ml dark red blood clotting, urine pregnancy-free positive. On the day of emergency surgery, intraoperative search: the right tubal ampulla pregnancy rupture, the right tubal resection, the pathological report of the right oviduct pregnancy rupture. 7 days after surgery, still feel nausea, tired of oil, check urine pregnancy test positive, women’s examination: uterus 40 pregnant, soft, exploration of the uterine cavity 9cm, the hair removal can be seen complete velvet follicles, discharged. Example 2:30 years old, 8 years after marriage, primary infertility, the last menstrual June 18, 1996, on August 8, 1996 due to menopause 50 days, check urine