Treatment principles for ectopic pregnancy rupture and bleeding: rescue measures for ectopic pregnancy rupture and bleeding

Principles for the treatment of ectopic pregnancy rupture and bleeding

The treatment methods for ectopic pregnancy rupture and bleeding include:

1. Ordinary drugs cannot be treated with surgery, they must be treated with surgery, otherwise it can easily cause massive bleeding and threaten life.

2. Induced abortion treatment: Rupture of an ectopic pregnancy is an ectopic pregnancy, and children cannot survive and can only be induced. Postoperative care should also be done well and the patient's recovery should be observed.

Rescue measures for ectopic pregnancy rupture and bleeding

When rescuing ectopic pregnancy with massive bleeding, if necessary, send the patient to the rescue room, observe changes in the condition, and inhale high concentration oxygen. Once the blood volume decreases, fresh plasma should be injected quickly. In addition, preparations should be made as soon as possible before surgery, and attention should be paid to the patient's psychological care.

Many women who undergo ultrasound examination after pregnancy may discover ectopic pregnancy such as tubal pregnancy. If pregnancy is not terminated in a timely manner, not only will there be a reaction of lower abdominal pain, but there will also be massive bleeding, causing life-threatening consequences. Rescue should be carried out at this time. So, what is the rescue process for massive bleeding in ectopic pregnancy?

1. Close observation of changes in the condition

Once there are symptoms of massive bleeding in ectopic pregnancy, the patient must be promptly sent to the rescue room and closely monitored for changes in the condition. Patients should rest absolutely in bed, preferably lying flat, with their lower limbs raised appropriately by 15-20 to pay attention to breathing, and regularly measure blood pressure and blood volume changes.

2. Timely oxygen supply

Timely and sufficient oxygen supply is an important rescue measure for patients with ectopic pregnancy and major bleeding, especially when irritability and mental state occur, high concentration oxygen inhalation should be given immediately, with an appropriate oxygen flow rate of 4-6 L/min. While providing oxygen, it is important to pay attention to the effectiveness of oxygen inhalation, monitor vital signs, and observe color changes in lips, earlobes, and nails.

3. Quickly replenish blood volume

Due to the fact that massive bleeding often leads to a rapid decrease in blood volume, timely supplementation is necessary to maintain smooth venous channels and maintain basic blood circulation. The intravenous indwelling needle can choose an appropriate infusion speed based on blood pressure and heart rate. Ringer's solution is close to extracellular fluid, and if necessary, it can be pressurized to replenish blood. If there is coagulation disorder, it is best to inject fresh plasma or platelets, and if necessary, use low molecular weight dextran.

4. Preoperative preparation

The key to relieving ectopic pregnancy is to immediately undergo a curettage surgery, so it is necessary to prepare for the surgery in advance. It is recommended to check the four types of coagulation and liver and kidney functions as soon as possible, assist in abdominal puncture, and ensure the smooth progress of the curettage surgery.