What are the symptoms of ectopic pregnancy at two months

When the ectopic pregnancy is two months old, the patient's symptoms are usually not so obvious. Most patients are just normal reactions to pregnancy. They just feel that their nausea and vomiting have become more serious. As time goes by, patients will feel that their symptoms are becoming more and more serious, and eventually lead to amenorrhea or hemorrhagic shock. This is more critical and requires timely and effective treatment.

Under normal circumstances, the fertilized egg will migrate from the fallopian tube to the uterine cavity, then settle down and slowly develop into a fetus. However, due to various reasons, the fertilized egg goes wrong during the migration process and does not reach the uterus, but stays somewhere else. This becomes an ectopic pregnancy, also known as ectopic pregnancy in medical terms. More than 90% of ectopic pregnancies occur in the fallopian tubes. Such a fertilized egg not only cannot develop into a normal fetus, but can also pose a danger like a time bomb. It is necessary to first check and confirm the location of the gestational sac before choosing a treatment plan.

The main symptoms of early ectopic pregnancy are: 1. Amenorrhea, mostly around 6 weeks. 2. Lower abdominal pain occurs after menopause, with an incidence rate of 95%. It is often sudden, with tearing or paroxysmal pain on one side of the lower abdomen, accompanied by nausea and vomiting. 3. Vaginal bleeding: There may be a small amount of vaginal bleeding when the menstruation stops for about 40 days. 4. Symptoms such as pale complexion, weak pulse, cold sweat, dizziness, and low blood pressure may also occur, leading to fainting and shock. Due to acute intra-abdominal bleeding, blood volume reduction and severe abdominal pain may occur. Mild cases often cause syncope, while severe cases may experience shock and other symptoms.

90% of ectopic pregnancies are fallopian tube pregnancies. The general treatment for ectopic pregnancies is to remove the fallopian tubes, but removing the fallopian tubes will result in loss of fertility, which is medically known as pregnancy disability. In addition, blindly treating the ectopic pregnancy without finding out the cause will lead to ectopic pregnancy next time.

Surgical treatment of ectopic pregnancy

1. For patients with severe internal bleeding and shock, surgical rescue should be performed while actively correcting the shock and replenishing blood volume. The abdominal cavity was opened quickly, the diseased fallopian tube was brought out, the mesosalpinx was clamped with an oval forceps to quickly control bleeding, the infusion was accelerated, and the operation was continued after the blood pressure rose.

2. Surgical procedure: Routine salpingectomy on the affected side is performed. Young women who want to have children can undergo conservative surgery. Depending on the site of implantation of the fertilized egg, the fallopian tube can be incised to remove the embryo and then opened after local suture or electrocoagulation to stop bleeding, or the fimbria can be squeezed out to remove the embryo to preserve the function of the fallopian tube. Careful observation should be made during the operation and attention should be paid to monitoring vital signs and abdominal condition after surgery. Blood β-HCG should be checked 24 hours, on the 3rd day, and on the 7th day after surgery. If the decrease is not satisfactory, methotrexate or traditional Chinese medicine should be used to prevent the occurrence of persistent ectopic pregnancy. Thereafter, blood β-HCG should be checked every week until it returns to normal. Those who wish to be sterilized can have the contralateral fallopian tube tied at the same time.

3. Autologous blood transfusion is one of the effective measures to rescue ectopic pregnancy, especially in the case of lack of blood source. The recovery of intra-abdominal blood must meet the following conditions: pregnancy less than 12 weeks, unruptured fetal membranes, bleeding time <24 hours, uncontaminated blood, and microscopic red blood cell destruction rate <30%; add 10 ml of 3.8% sodium citrate for anticoagulation for each 100 ml of blood transfused, and use a transfusion funnel padded with 6 to 8 layers of gauze or filter through a 20 μm microporous filter before transfusing back into the body; 400 ml of autologous blood transfusion should be supplemented with 10 ml of 10% calcium gluconate.