I'm a registered nurse. I was a patient for the first time during this experience of having an ectopic pregnancy that had burst.

我是注册护士。在这次宫外孕破裂的经历中，我是第一次当病人。

Doctors emphasize that treatment for ectopic pregnancies is not the same as an abortion.

医生强调，异的治疗方法与堕胎不同。

Nonetheless, the fact that fetuses can develop outside of the uterus has raised serious questions about whether it would be possible for men to have such an ectopic implantation.

尽管如此，胎儿能够在子宫外生长的事实引起许多问题，有关男人可不可能异。

Apart from pituitary adenomas, there are ectopic sources of ACTH like small cell lung cancer, and in these cases the excess ACTH is coming from somewhere other than the pituitary.

除了垂体腺瘤，ACTH也有异来源，比如小细胞肺癌；在这种情况下，垂体以外的部分泌过多的ACTH。

Those include " when there is a health risk to the mother, rape or incest, ectopic pregnancy, miscarriage or lack of fetal viability."

其中包括“当母亲的健康威胁、强奸或乱伦、宫外孕、流产或胎儿发育不全时”。

A ventricular ectopic focus can fire at different points in the cardiac cycle, which we can look at using the ECG.

室性异起搏点会在心动周期的不同时间点放电，我们可以用心电图监。

Any pregnancy where the fetus develops outside the uterus is known as “ectopic”, and serves as a useful model for what happens to babies born outside of standard conditions, say, within a man’s abdomen.

任何胎儿在子宫外的怀孕都被称为“异”，以发生在正常情况以外的小婴儿作为一个标准，而婴儿在男人的腹部裡也是异。

Alright, as a quick recap - A premature atrial contraction is when the atria contract too early because of a depolarization from an ectopic focus.

好，快速总结一下：房性期前收缩是指心房因为来自异起搏点的除极化而过早地收缩。

Low ACTH levels can be seen in adrenal adenomas and carcinomas, whereas high ACTH levels can be seen in Cushing disease and ectopic ACTH production.

肾上腺腺瘤和肾上腺癌会检出低水平ACTH，库欣病和异ACTH综合征会检出高水平ACTH。

Some politicians who are against abortions have suggested that ectopic pregnancies could be put back in the uterus.

一些反对堕胎的政客建议将异的胚胎放回子宫。

In rare situations, an ectopic focus can trigger ventricular tachycardia or even ventricular fibrillation, which are more serious arrhythmias where the ventricles beat too quickly to fill up with an adequate amount of blood.

罕见情况下，异起搏点会引发室性心动过速，甚至是心室纤颤，都是更为严重的心律失常，即心室搏动太快，以至于不能填充足量的血液。

Alternatively, medications such as adrenal steroid inhibitors, like ketoconazole and metyrapone can be helpful - especially for cases of ectopic ACTH production or adrenal carcinomas that have already spread.

另一种方法，像肾上腺类固醇生成抑制剂药物，比如酮康唑和甲吡酮，也会有帮助，尤其是在异ACTH综合征或已经扩散的肾上腺癌中。

Ectopic pregnancies are when a fertilized egg grows outside the uterus, often in a fallopian tube.

异是指精卵在子宫外生长，通常在输卵管中。

A third possible complication is ectopic pregnancy.

第三种可能的并发症是异。

It can be exogenous, meaning drug-related, or endogenous, meaning that it's from an adrenal tumor or excess ACTH from a pituitary adenomas, in which case it's called Cushing disease or from an ectopic site like small cell lung cancer.

它可以是外源性，也就是药物相关；或内源性，也就是由肾上腺肿瘤或由垂体腺瘤分泌过多ACTH造成，这种情况下叫做库欣病，或是源于异分泌，比如小细胞肺癌。

When that depolarization wave from an atrial ectopic focus gets to the AV node, there are a couple options.

当除极波从房性异起搏点达房室结，它有许多选择可做。

Alright, so also the location of the ectopic focus in the atria determines how the heart contracts and therefore what the ECG looks like.

并且心房异起搏点的置决定了心脏如何收缩以及因此产生的心电图形状。

Unlike pituitary adenomas, ectopic sites of ACTH productions typically don't respond even to high doses of dexamethasone, and the serum cortisol remains high.

和垂体腺瘤不同，异ACTH综合征一般对高剂量地塞米松没有反应，血清皮质醇还是会很高。

This so-called " group beating" can be differentiated from a type 1 second-degree atrioventricular heart block by identifying the abnormally shaped p-waves that are characteristic of an atrial ectopic focus.

所谓的“成组搏动”可以通过辨认房性异起搏点产生的异常形状的P波与二度I型房室传导阻滞相鉴别。

So, when an ectopic focus originates in the left ventricle, and moves towards the right ventricle, the V1 lead shows a large positive complex, with a dominating R wave.

所以，当异起搏点起源于左心室，并向右心室传导，V1导联出现一个有主导地R波的大型正相复合波。