Symptomatic treatment of ectopic pregnancy should consider whether the patient is fertile

Treatment of ectopic pregnancy should be based on comprehensive consideration of various factors such as the patient's own symptoms and whether there is a desire to have children, and a corresponding treatment plan should be formulated.

1. Symptomatic treatment

If a patient with ectopic pregnancy has severe internal bleeding and combined symptoms of shock, the first thing to do is to actively correct the shock and replenish blood volume. Then, surgical treatment should be performed in a timely manner. A laparotomy should be performed to remove the diseased fallopian tube, clamp its mesentery with an instrument, quickly control the bleeding, and increase the amount of infusion to increase blood pressure in a short time to ensure the smooth progress of the operation.

2. Treatment of patients who want to have children

If the patient is young and has fertility requirements, conservative conventional salpingectomy can be selected for treatment. According to the location of the fertilized egg implantation, the embryo in the fallopian tube can be removed. There are three ways to remove the embryo, namely, cutting the fallopian tube to directly remove the embryo and then suturing it locally; opening the fallopian tube to remove the embryo after electrocoagulation and hemostasis; and squeezing the fallopian tube umbrella to remove the embryo. It should be noted that no matter which method is used to remove the embryo, the purpose is to preserve the function of the fallopian tube, and careful observation should be made during the operation, and attention should be paid to monitoring the patient's vital signs and abdominal condition after the operation.

In addition, the patient's blood human chorionic gonadotropin decline should be rechecked 24 hours, 72 hours and on the 7th day after the operation. If it does not gradually return to normal, methotrexate or traditional Chinese medicine should be used as an auxiliary treatment to prevent the occurrence of persistent ectopic pregnancy.