What should I do if lower abdominal pain and vaginal bleeding are diagnosed as ectopic pregnancy?

Ectopic pregnancy is also known as ectopic pregnancy in clinical practice. Its occurrence not only brings harm to the pregnant woman's body, but also brings pain and sorrow to a family. The most obvious manifestation of ectopic pregnancy is vaginal bleeding and abdominal pain after menstruation. In severe cases, some people may even go into shock. If the hospital has diagnosed an ectopic pregnancy, it should be treated in time. Now I will tell you how to treat an ectopic pregnancy.

1. Expectant treatment: no clinical symptoms or mild clinical symptoms; the diameter of the ectopic pregnancy mass is less than 3 cm, there is no fetal heart beat, there is no intra-abdominal bleeding or the estimated internal bleeding is less than 100 ml; blood β-hCG is less than 1000 mIU/ml and continues to decrease. Patients can be advised to rest at home and come to the hospital for weekly blood β-hCG check. If abdominal pain worsens during this period, they can seek medical attention at any time.

2. Chemotherapy: Patients who want to have children, especially those whose contralateral fallopian tube has been removed or has obvious lesions. It is suitable for patients with no obvious abdominal pain, maximum diameter of the mass 3.5~5.0cm, β-hCG <2000~3000mIU/ml, stable vital signs, no signs of active intra-abdominal bleeding, and normal liver function and blood count.

3. 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.

4. 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.

According to the editor's description, it can be found that the treatment of ectopic pregnancy depends on the condition of the disease, but no matter how serious the condition is, pregnant women and their families should pay attention to it and be vigilant. In fact, the occurrence of ectopic pregnancy is related to some gynecological inflammations such as salpingitis and pelvic inflammatory disease. It is recommended that you actively treat these inflammations to avoid ectopic pregnancy again.