What are the specific manifestations of the harm of threatened abortion? Threatened abortion means that there are signs of abortion before it occurs. In order to avoid abortion, timely treatment measures need to be taken. What patients need to know more is the harm of threatened abortion. So what are the specific manifestations of the harm of threatened abortion? Experts warn that threatened abortion has the following two major complications. 1. Heavy blood loss Sometimes, miscarriage or incomplete miscarriage can cause severe blood loss or even shock. Therefore, it should be treated actively. Various measures can be taken at the same time. Intravenous or intramuscular injection of oxytocin or posterior pituitary hormone 10U. Try to give the patient a blood transfusion. In the absence of a blood bank, medical staff or their families can be mobilized to donate blood. If blood is really not available for the time being, dextran can be temporarily dripped intravenously. At the same time, curettage is performed. After the fetal tissue is removed, the bleeding often stops. Even if there is an infection, large pieces of fetal tissue should be removed. Then, conditions should be actively created for blood transfusion. 2. Infection All types of abortion can be complicated by infection, and it occurs more frequently in incomplete abortion. Infection often occurs when abortion is performed with instruments that have not been strictly sterilized; the instruments damage the cervix; or there are original infection lesions in the uterine cavity, which can cause the spread of infection after surgical abortion or spontaneous abortion. In addition, not paying attention to hygiene after abortion (natural or artificial abortion), premature sexual intercourse, etc. can cause infection. Infectious pathogens are often a variety of bacteria, mixed infections of anaerobic and aerobic bacteria. In recent years, various reports have shown that anaerobic bacteria account for the majority, up to 60-80%. The infection can be confined to the uterine cavity, or it can spread to the periphery of the uterus, forming salpingitis, salpingo-oophoritis, pelvic connective tissue inflammation, and even beyond the reproductive organs to form peritonitis and sepsis. The patient has chills and fever, abdominal pain, vaginal bleeding, sometimes foul-smelling secretions, tenderness of the uterus and appendages, poor uterine involution, leukocytosis and other inflammatory manifestations. In severe cases, septic shock may occur. Blood, cervical or uterine cavity secretions can be smeared and cultured (aerobic and anaerobic bacteria). B-ultrasound examination to check whether there is any residual tissue in the uterine cavity. |
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