PDF(Pubmed)
Abstract：
BACKGROUND: Corneal pregnancy is rare and difficult to detect in the early stages. Due to the abundant blood supply in this area, a rupture can result in massive internal bleeding, shock, and even death. Therefore, immediate surgery is necessary, and patients must replenish their blood volume as soon as possible to ensure blood supply to important organs. For those whose blood pressure cannot immediately rise, surgery should be performed while resisting shock to buy time.
METHODS: We present the case of a 34-year-old Chinese woman at 19 weeks of gestation who had a corneal pregnancy. No abnormalities were detected in the examinations in the first trimester. This patient was 19 weeks pregnant and sought medical advice due to sudden lower abdominal pain, syncope, and hemorrhagic shock. After rescue and treatment, she recovered and was discharged from the hospital, afterwards, the patient gave birth to a child 7 years later.
CONCLUSIONS: The early diagnosis of cornual pregnancy is mainly based on ultrasound. However, there is a high incidence of missed diagnosis and misdiagnosis of this disease. Patients may face serious and life-threatening conditions in case of the rupture of cornual pregnancy. This disease can be mainly treated by surgery.
METHODS: We present the case of a 34-year-old Chinese woman at 19 weeks of gestation who had a corneal pregnancy. No abnormalities were detected in the examinations in the first trimester. This patient was 19 weeks pregnant and sought medical advice due to sudden lower abdominal pain, syncope, and hemorrhagic shock. After rescue and treatment, she recovered and was discharged from the hospital, afterwards, the patient gave birth to a child 7 years later.
CONCLUSIONS: The early diagnosis of cornual pregnancy is mainly based on ultrasound. However, there is a high incidence of missed diagnosis and misdiagnosis of this disease. Patients may face serious and life-threatening conditions in case of the rupture of cornual pregnancy. This disease can be mainly treated by surgery.
摘要：
背景：角膜妊娠很少见，很难在早期发现。由于这个地区血液供应丰富，破裂会导致大量内出血，震惊,甚至死亡。因此,立即手术是必要的，患者必须尽快补充血液量，以确保重要器官的血液供应。对于那些血压不能立即升高的人，应在抗休克的同时进行手术以争取时间。
方法：我们介绍了一名34岁的中国女性，在妊娠19周时进行了角膜妊娠。在妊娠早期的检查中未发现异常。这名患者怀孕19周,因突然下腹痛求医,晕厥,失血性休克.经过抢救和治疗,她康复出院了,之后,病人7年后生了一个孩子。
结论：宫角妊娠的早期诊断主要依靠超声。然而,该病的漏诊和误诊发生率较高。在宫角妊娠破裂的情况下，患者可能面临严重和危及生命的状况。这种疾病主要可以通过手术治疗。
方法：我们介绍了一名34岁的中国女性，在妊娠19周时进行了角膜妊娠。在妊娠早期的检查中未发现异常。这名患者怀孕19周,因突然下腹痛求医,晕厥,失血性休克.经过抢救和治疗,她康复出院了,之后,病人7年后生了一个孩子。
结论：宫角妊娠的早期诊断主要依靠超声。然而,该病的漏诊和误诊发生率较高。在宫角妊娠破裂的情况下，患者可能面临严重和危及生命的状况。这种疾病主要可以通过手术治疗。
