Introduction to this issue
Pregnancy preparation is a life-threatening practice, but in the process, there will also be some babies who suddenly get lost, which is what we know as ectopic pregnancy.
Therefore, after the discovery of pregnancy, do not rush to celebrate, it is important to determine the intrauterine and extrauterine pregnancy.
1
What is ectopic pregnancy
Ectopic pregnancy is called ectopic pregnancy, which refers to the implantation and development of the pregnant egg outside the uterine cavity. Pregnancy with fallopian tubes is most common. The cause is often due to inflammation in or around the tubal lumen, causing poor lumen patency, hindering the normal operation of the pregnant egg, causing it to stay, implant, and develop in the fallopian tubes, resulting in a miscarriage or rupture of the fallopian tube pregnancy.
2
What are the symptoms of ectopic pregnancy?
Early recognition of ectopic pregnancy is important.
Early symptoms In addition to the symptoms of normal pregnancy such as menopause, elevated HCG, and nausea, early pregnancy reactions include the following:
Diarrhea: Many ectopic pregnancy patients have gastrointestinal symptoms such as abdominal pain and diarrhea, which can easily be ignored as gastrointestinal dysfunction.
Vaginal bleeding: Embryos have difficulty getting enough nutrients in the fallopian tubes, and after death, there is often a small amount of vaginal bleeding, usually less than the amount of menstruation.
Abdominal pain: abdominal pain is mostly manifested as unilateral lower abdominal pain, mainly due to the expansion and rupture of the fallopian tubes or bleeding.
Pallor, syncope: usually acute hemorrhagic shock due to rupture of an ectopic pregnancy and hemorrhage.
Typical symptoms of ectopic pregnancy are postmenopausal abdominal pain and vaginal bleeding. If there is menopause, abdominal pain, abnormal bleeding, it is recommended to go to the hospital for examination.
3
How is ectopic pregnancy confirmed?
HCG monitoring
In ectopic pregnancies, hCG levels are lower than in intrauterine pregnancies, and continuous hCG measurements help distinguish between normal and abnormal pregnancies.
Ultrasound or laparoscopy
The absence of a gestational sac in the womb, parauterine probing and abnormally low echo, or fetal buds and primitive heart canal beats, confirm ectopic pregnancy.
Diagnostic curettage
If a normal intrauterine pregnancy is excluded, ectopic pregnancy can be ruled out by diagnostic curettage.
4
How is ectopic pregnancy treated?
Depending on the patient's symptoms, vital signs, HCG value, and mass size, expectant therapy, medication, and surgery are available. Early detection, timely medical treatment, early corresponding treatment measures, do not wait until abdominal pain or even rupture and bleeding to pay attention to.
5
How is ectopic pregnancy conditioned?
Active treatment of diseases of the reproductive system, such as pelvic inflammatory disease, endometritis, etc.
Pay attention to menstrual hygiene to prevent infection.
If the contralateral fallopian tubes are normal, ultrasound monitoring of ovulation may be considered to guide intercourse pregnancy.
If the contralateral fallopian tubes are abnormal, assisted reproductive techniques are recommended for fertility.
Develop regular work and rest time, ensure adequate sleep, eat more fresh vegetables and fruits, adhere to appropriate physical exercise, and keep your mood comfortable.
Expert introduction
Lin Xiaoxian
Position: Director of Obstetrics and Gynecology
Title: Chief Physician
Graduated from the Medical Department of Xi'an Medical University, he has been engaged in clinical work for more than 30 years. Former Director of the Department of Obstetrics and Gynecology of Shaanxi Provincial Maternal and Child Health Hospital. He has successively served as an expert of the Provincial and Municipal Medical Malpractice Appraisal Committee, a member of the Second Surgical Laparoscopy Society of Shaanxi Province, a fourth-level surgical substitute teacher of the Gynecological Laparoscopy Training Center of the Provincial Maternal and Child Health Hospital of the Ministry of Health, and a member of the 100 health tour group of the former Ministry of Health. He has twice participated in the work of Shaanxi Province's foreign aid medical aid to Africa, and has been commended by the recipient many times. He has published more than 20 medical papers, among which "Research on the Application of Endoscopy in Gynecological Malignant Tumors" won the Shaanxi Provincial Science and Technology Progress Award.
He is good at the diagnosis and treatment of common and difficult gynecological diseases, gynecological endocrinology, blood, perimenopausal hormone replacement and concomitant disease treatment, prevention, polycystic ovary syndrome, primary infertility diagnosis and treatment of diseases, and has rich clinical experience in the control and treatment of obstetric high-risk pregnancies.
Gao Kexia
Position: Director of Obstetrics
Graduated from the Medical Department of Daqing Campus of Harbin Medical University, he has been engaged in obstetrics and gynecology for 35 years. Former obstetrician and gynecologist of Xi'an Second Hospital and Northwest Women and Children's Hospital, director of the Department of Obstetrics and Gynecology of Shaanxi Coal Construction Company General Hospital and Lianhu District Obstetrics and Gynecology Hospital, member of the hospital's critically ill rescue team. He has participated in and organized the rescue of critically ill patients for many times, and has repeatedly won the honors of Major Rescue Achievement Award and Advanced Individual of Lianhu District Health System. He has published several papers in national and provincial journals.
He is good at the diagnosis and treatment of recurrent miscarriage, female infertility, and abnormal uterine bleeding; the diagnosis and treatment of high-risk pregnancies; and the identification and treatment of head-induced dystocia. He can independently complete total hysterectomy, lower uterine caesarean section, extraperitoneal caesarean section and a variety of obstetric and gynecological surgeries; especially good at new type of extraperitoneal caesarean section.
Jin Ying
He has been engaged in obstetrics and gynecology for more than 30 years. He has successively served as the director of the Department of Obstetrics and Gynecology of Xi'an Hui'an Hospital and Daxing Hospital, and a member of the Chinese Medical Association. He has published more than 10 papers in national, provincial and municipal medical journals. Won the third prize of the Medical Paper Award of the Ministry of Ordnance Industry once.
Expertise:
He specializes in the treatment of gynecological tumors and abnormal uterine bleeding, and can perform LEEP knife electroresection, radiofrequency therapy and hysteroscopy.
Hui Junfeng
Title: Deputy Chief Physician Master of Medicine
He has been working in obstetrics and gynecology for 20 years. Former director of obstetrics at Chang'an Hospital. He has successively served as the deputy chief physician of Shaanxi Provincial People's Hospital, Shaanxi Provincial Maternal and Child Health Hospital, and Xi'an Medical College. He is currently a member of Xi'an Medical Association, a standing editorial board member of the Expert Editorial Committee of the Chinese Journal of Traditional Chinese and Western Medicine, a member of the Medical Technology Appraisal Expert Database of Xi'an Medical Association, a member of Xi'an Medical Association, and a member of the 8th Obstetrics and Gynecology Branch.
He has published 5 papers and 1 monograph in core journals.
He is good at common diseases and multiple diseases in obstetrics and gynecology, especially in the treatment and rescue of critical diseases, and can skillfully complete complex surgery in obstetrics and gynecology. He has rich experience in postpartum hemorrhage rescue and dangerous placenta previa treatment, outpatient guidance for high-risk pregnancies and gestational diabetes, obstetric critical care treatment, dietary guidance for gestational diabetes, weight management, and insulin application.
Pang Jun
Title: Deputy Chief Physician
He graduated from Shaanxi Radio and Television University in 2000 and has been engaged in clinical work in obstetrics and gynecology for 36 years.
He was formerly the president of the Southern Suburbs Branch of Yulin Hospital of Traditional Chinese Medicine. He studied in Shaanxi Provincial People's Hospital and Shaanxi Provincial Maternal and Child Health Hospital for one year. He has published several papers in core medical journals.
He specializes in the diagnosis and treatment of multiple diseases, common diseases, incurable diseases, infertility and pregnancy complications in obstetrics and gynecology.
END
Editor: Zhang Xiaoli Review: Gao Yuan