What is artificial abortion syndrome

Induced abortion syndrome is caused by strong mechanical stimulation of the cervix or uterus during the operation, which causes excitement of the vagus nerve and releases a large amount of acetylcholine, causing vasoconstriction, bradycardia, drop in blood pressure, pale complexion, sweating, dizziness, chest tightness, and even syncope and convulsions, leading to insufficient blood supply to organs such as the heart and brain. It is also called cardio-cerebrovascular syndrome.

The disease has an acute onset and there have been reports of cardiac arrest if not treated in time.

Causes

1. Local stimulation of the uterus or cervix. The local stimulation of the uterus or cervix caused by artificial abortion surgery causes the vagus nerve to react on its own, resulting in symptoms of vagus nerve excitement, releasing a large amount of acetylcholine, causing insufficient blood supply to the brain and a series of effects on the cardiovascular system.

2. Emotional tension in pregnant women is often related to emotional tension in pregnant women. The occurrence of artificial abortion syndrome is closely related to psychological factors. According to clinical observation, this syndrome is more likely to occur in pregnant women who are mentally tense and full of doubts about artificial abortion surgery.

3. It is related to factors such as difficulty in cervical dilation, excessive negative pressure or strong uterine contractions.

deal with

The surgical operation should be stopped immediately, and the patient should be given oxygen and intravenous or intramuscular injection of cholinergic inhibitors.

1. Lie down immediately, measure pulse and blood pressure, and give oxygen.

2. Mainly use atropine 0.5-1.0 mg or scopolamine 20 mg intravenous injection.

3. If necessary, give 60-100 ml of 50% glucose by intravenous injection, or open the vein to give fluid replacement.

4. If ineffective, dissolve 1 mg of isoproterenol in 5% glucose solution and drip intravenously. Adjust the number of drops according to the recovery of heart rate.

5. You can also use 30 mg of ephedrine for intramuscular injection, and if necessary, intravenous injection of dopamine, alamin, etc.

6. Patients whose condition is serious or does not improve after the above treatment should receive emergency treatment under electrocardiogram monitoring.