During the abortion, the surgeon must be aware of the signs that the uterus is completely vacuumed out. For example, if the uterine wall still feels slippery, the uterine cavity is wide, or there is active bleeding, and if the aspirated material is found to be broken or smaller than that in the month of amenorrhea, the surgeon may not have completely vacuumed out the uterus. If the aspirate is too little and no villi or other tissues can be found with the naked eye, the specimen should be sent for pathological examination. If conditions permit, blood can be drawn after surgery for radioimmunoassay of human chorionic gonadotropin. If the abortion is indeed incomplete, if B-ultrasound confirms that the placenta or embryonic sac tissue has been detached and there is a lot of vaginal bleeding, uterotonic drugs, Chinese medicine Shenghua Tang, etc. can be used to expel it. If the placenta tissue has not been detached and there is a lot of vaginal bleeding, a curettage is generally required, and antibiotics or other anti-inflammatory drugs are given before and after the operation to control the infection. If the infection is serious, it should be treated as an incomplete abortion caused by infection. |
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