Can a woman with ectopic pregnancy be cured?

Once a female friend has an ectopic pregnancy, if she does not rush to the hospital to terminate the pregnancy in time, when the fallopian tube ruptures, it will cause heavy bleeding, which will seriously threaten the health of the female friend herself. So what should be done about ectopic pregnancy? How should the patient be treated?

1. For patients with severe internal bleeding and shock, surgical rescue should be performed while actively correcting shock and replenishing blood volume. The abdominal cavity should be opened quickly, the diseased fallopian tube should be taken out, and the fallopian tube mesentery should be clamped with an oval forceps to quickly control bleeding, speed up the infusion, and continue the operation after the blood pressure rises.

2. Procedure: Routine salpingectomy on the affected side. Conservative surgery can be performed for young women who want to have children. Depending on the location of the fertilized egg implantation, the fallopian tube can be cut open to remove the embryo, and then opened after local suture or electrocoagulation hemostasis, or the fimbria can be squeezed to remove the embryo to preserve the function of the fallopian tube. Careful observation during the operation and monitoring of vital signs and abdominal conditions after the operation should be paid attention to. Blood β-HCG should be checked 24 hours, 3rd day and 7th day after the operation. If the decrease is not satisfactory, methotrexate or traditional Chinese medicine treatment should be used to prevent the occurrence of persistent ectopic pregnancy. After that, blood β-HCG should be checked weekly until it is normal. Those who want sterilization can ligate the contralateral fallopian tube at the same time.

3. Autologous blood transfusion is one of the effective measures to rescue ectopic pregnancy, especially in the absence of blood source. The recovery of intraperitoneal blood must meet the following conditions: pregnancy less than 12 weeks, unruptured membranes, bleeding time <24 hours, uncontaminated blood, and microscopic red blood cell destruction rate <30%. For each transfusion of 100ml of blood, add 10ml of 3.8% sodium citrate for anticoagulation, and use a transfusion funnel to pad 6 to 8 layers of gauze or filter through a 20μm microporous filter before transfusion back into the body; 400ml of autologous blood transfusion should be supplemented with 10ml of 10% calcium gluconate.