Ruptured tubal pregnancy 40 patients.docVIP

 PAGE \* MERGEFORMAT 7 Ruptured tubal pregnancy 40 patients [Keywords:] pregnancy rupture Ruptured tubal pregnancy is a common acute abdomen in gynecology and obstetrics, first trimester maternal death is one of the main. Its timely diagnosis and treatment are important. Our hospital since 2003, mainly in patients with ruptured tubal pregnancy, surgical treatment to , the first retrospective analysis, reported as follows. 1 Materials and Methods 1.1 General information on the 40 cases, both patients were treated from 2003 to 2007. Aged 20 to 40 years, mean 25 years old. Menopausal history when admitted to hospital in 35 cases, 30 cases of irregular vaginal bleeding, abdominal pain 30 cases, 2 cases of shock. underwent preoperative B-ultrasound, suggesting adnexal mass and pelvic fluid in 35 cases, 5 patients without ascites (B-Tip exploration and extrauterine fetal heart beat, blood, urine HCG was positive. intraoperative findings isthmus pregnancy 10 cases, 25 cases of ampullary pregnancy, the umbrella Department of pregnancy in 5 cases, including 35 cases of rupture of the right fallopian tube. 1.2 treatment of 40 patients in this group were taken to surgery, urine pregnancy test positive or weakly positive. There are a lot of pelvic ultrasound fluid. Admitted to hospital after the transfusion, infusion of the premise, underwent emergency surgery, to continuous epidural anesthesia or general anesthesia. surgical abdomen off the middle of the pubic symphysis 2 Wang pointed, about 4 ~ 5 cm transverse incision of skin, subcutaneous tissue, before the transverse rectus sheath incision, the skin over the left and right margins 1 cm, separation of the upper and lower rectus sheath with the former point of attachment of the adhesion at the scissors can cut, about 5 cm, separation of the rectus abdominis, open the peritoneum, the lower mouth, to try to rely on the peritoneum opened, so as not to damage the bladder . into the abdomen after suction draw