Symptoms of massive hemorrhage in ectopic pregnancy

summary

If the fertilized egg is not implanted in the right place (uterine cavity), but in any other place, it means that it should be ectopic pregnancy. Of course, ectopic pregnancy is very dangerous. One of the reasons is that it will lead to massive hemorrhage. I'd like to talk about the symptoms of massive hemorrhage in ectopic pregnancy.

Symptoms of massive hemorrhage in ectopic pregnancy

Ectopic pregnancy is a common acute abdomen in obstetrics and gynecology department. The incidence rate is about 2%, which is one of the causes of maternal death. For example, in the recent four 24-hour night shift, Dr. Fu Hong has done four emergency ectopic pregnancy operations in a row. In the last shift, he not only did one ectopic pregnancy operation, but also did one emergency operation for corpus luteum rupture. The ectopic pregnancy as the first gynecological acute abdomen.

The most common site of ectopic pregnancy is fallopian tube, abdominal pain is the most common manifestation of tubal pregnancy. Compared with the warm, spacious and thick "apartment" uterine cavity, the tubal cavity of the fallopian tube is a narrow and simple "small dormitory". Not only the lumen is narrow and small, the wall of the tube is thin and lack of submucosal tissue, but also the muscular layer is far less thick and tough than the myometrial wall. During pregnancy, a complete decidua can not be formed, which is not conducive to the growth and development of the embryo, and abortion or rupture often occurs.

When ectopic pregnancy abortion or rupture occurs, pregnant women will suddenly feel one side of the abdominal tear like pain, often accompanied by nausea and vomiting. If the blood is limited to the lesion area, it is mainly manifested as lower abdominal pain. When the blood accumulates in the recto uterine depression, it can cause anal distension. As the blood flows from the lower abdomen to the whole abdomen, the pain can spread from the lower abdomen to the whole abdomen. The blood stimulates the diaphragm, which can cause radiation pain in the scapula and chest pain.

matters needing attention

To sum up, for women who have sex, once their menstruation has expired, especially when they have lower abdominal pain, vaginal bleeding, syncope and shock, and abdominal mass, they must go to the hospital for examination in time to eliminate the bomb of pregnancy, especially ectopic pregnancy.