A lot of female friends all know that ectopic pregnancy, ectopic pregnancy also have a certain understanding, to know if a tubal pregnancy, that is no fertilized egg implantation in the womb, but in the fallopian tube implantation within, and this is the palace outside pregnancy. However, ectopic pregnancy is much more than such a situation, this is to introduce you to another form of ectopic pregnancy ectopic pregnancy — old.
Old clinical manifestations of ectopic pregnancy in the oviduct and Yunluan implantation site, whether abortion or rupture, intra-abdominal blood and how many time-related morbidity. Before the abortion or ruptured tubal pregnancy, symptoms and signs are not obvious, except short-term performance of menopause and pregnancy, the occasional side of lower abdomen pain. Examination and normal or swollen fallopian tube.
Tubal abortion or rupture, based on the condition Jihuan generally divided into two types of acute and old. Patients can exercise and post-menopausal history of repeated bleeding episodes, the clinical features of irregular vaginal bleeding, paroxysmal abdominal pain, low thermal mass and accessories. Low heat absorption process for the intra-abdominal blood caused secondary infections such as mergers, then the performance of high fever.
Old abdominal ectopic pregnancy checks significantly lower abdomen tenderness and rebound tenderness, especially in the affected side for the drama, but the abdominal muscles tight when compared with the plate-like abdominal peritonitis lighter, more bleeding when there is mobility and percussion dullness and lasted more Long after the formation of blood clots, lower abdominal palpable soft-lung block, repeated bleeding to harden mass increases.
In general, when more intra-abdominal hemorrhage, showing appearance of acute anemia. Heavy bleeding when there are pale and clammy extremities, rapid pulse and blood pressure fall in the thin and delicate shock symptoms. Normal body temperature, shock, when slightly lower, intra-abdominal absorbed into the blood may rise slightly, but not exceeding 38 ℃.
Old tubal abortion or ectopic pregnancy refers to the breakdown of longer duration, after repeated bleeding condition stabilized. At this point embryonic death, fluff degradation, to stop internal bleeding, abdominal pain has been reduced, but the plane of the formation of hematoma gradually hardens, and the adhesion with the surrounding tissues and organs.
Pelvic examination of old ectopic pregnancy after vaginal fornix full, tenderness. Significant move cervical pain, gently swarmed to the cervix or to the left and right, they can cause severe pain, the uterus is slightly larger than the soft, internal bleeding for a long time, the uterus has a sense of floating. Before they hit the side of the uterus or after the mass, quality like wet dough, and even industry is not clear, tenderness obvious interstitial pregnancy, tubal pregnancy and other parts of the performance of different size and menopausal uterus generally consistent with the month, but the contours of the uterus is not relative, said the Ministry of prominent ipsilateral cornual rupture due to signs of pregnancy such as uterine rupture most.