What kind of phenomenon is abnormal after people flow?

Although the operation of abortion is simple, the uterus is rich in blood vessels during pregnancy and the uterine body becomes soft. If the operator is slightly careless, abnormal conditions may occur, causing pain and even accidents to the subject.
(1) Bleeding: Intraoperative bleeding often occurs in the larger number of weeks of gestation. Because the placenta area is larger, and the straw used is smaller and the negative pressure is not enough, the placenta and fetal components can not be quickly removed, the uterus can not be a good contraction to stop bleeding, so it is easy to cause bleeding. At this point the placenta should be removed as soon as possible and the contents of the uterine cavity, and then inject uterine contractions, bleeding will stop.
(2) Postoperative residuals: If a small part of the villi or aponeurosis remains in the uterine cavity after artificial abortion, postoperative infection may occur. The symptoms are poor uterine contractions, irregular vaginal bleeding, bleeding to 2 weeks after surgery, and sometimes a lot, or bloody vaginal discharge, odor, and more accompanied by micro-heat, indicating intrauterine infection. At this time we must ask the doctor to carefully check, if found in the uterine cavity with villi or aponeurosis and some blocked in the cervix, should be anti-infective at the same time, immediately disinfect the local, and then remove the residual tissue in the bureau, after surgery to give Antibiotics and official drugs. Sometimes a small amount of residual decidua tissue in the uterine cavity, due to chronic inflammation and foreign body stimuli, easy to form endometrial polyps, blood flow and uterine wall blood flow and cause bleeding. Because polyps can persist in the uterus for a long time, they should be surgically removed under hysteroscopy to completely resolve abnormal uterine bleeding.
(3) Absorption: pregnant women still have early pregnancy after abortion. In addition to the uterine malformation that affects the success of the operation, there is often another condition, because the position of the uterus is not good, or the surgeon is timid. Failed to suck out the embryonic tissue so that the fetus continues to grow in the uterus. Pregnant women must not have any illusions about this. They should go to the hospital for surgery as soon as possible. Because the fetus undergoes the trauma of abortion, even if it is delivered at term, it is likely to be a disabled child, which will cause pain or burden on the child, family, and country.
(4) Uterine perforation: Artificial abortion is a blind operation that depends on the feeling of a doctor. Such as maternal uterine position is not good (heavy dorsiflexion or posterior flexion), cervical dysplasia, age <20 or 50 years of age (poor cervical and vaginal flexibility, weak uterine contractility), lactation uterus softer, In the Palace of malformations, will bring certain difficulties to the surgery, and even uterine perforation. Perforation of the uterus on pregnant women suddenly felt severe lower abdominal pain, accompanied by nausea, vomiting, anal fall and other discomfort, severe pale, cold sweat, cold extremities, and even fainting. At this point, the operation should be stopped immediately, and the necessary inspections should be done. It is best to observe the diagnosis and treatment after admission. If it is a small perforation, such as a probe perforation, treatment with antibiotics and uterotonics can be healed for several days after observation. If the above treatment fails to improve, there are abdominal pain, tenderness, rebound tenderness, and abdominal muscle tension. It should be thought that there is a possibility of internal bleeding or organ damage. At this time, the lesions should be found to be cleaned up and surgically treated to ensure surgery. Health and safety.
(5) Abnormal uterus with pregnancy: pregnant women still have early pregnancy after abortion, and they can touch the abdominal mass, and gradually increase, should go to the hospital. If the urine pregnancy test is positive, B ultrasound confirmed that there are fetuses, fetal heart, often because of pregnant women with uterine malformations, such as the double uterus septate uterus, intraoperative only a side of the uterine cavity, and the fetus in the other side of the uterine cavity to Continue to grow and develop, at this time should be hospitalized, and then the other side of the uterine cavity abortion.
(6) Air suction: Air suction is generally due to misdiagnosis as pregnancy, or false positive pregnancy test and surgery; may also be ectopic pregnancy. Aspiration of the organization did not see the embryonic tissue composition by pathological examination, should be done again urine pregnancy test, such as positive, should also be B-ultrasound examination, such as the discovery of the gestational sac in the uterus, but also see the fetal buds and fetal heart, that is, ectopic pregnancy It should be immediately observed and treated in hospital. Early ectopic pregnancy can be treated with traditional Chinese medicines and chemical drugs to kill the embryos and then slowly absorb the tissues of the body; or in the event of abdominal pain and diagnosed with ectopic pregnancy, surgery should be performed immediately to reduce internal bleeding and ensure the safety of the subject.
(7) Infection after artificial abortion: The postoperative infection is within 1 to 7 days after the operation, with fever, abdominal pain, increased secretion, and odor, etc., due to bacterial infection. There are many types of pathogenic bacteria, mainly anaerobic streptococcus, hemolytic streptococcus, staphylococcus, E. coli, etc. Most patients are mixed infections of several bacteria. There are two types of bacterial sources: autoinfection and foreign infection.
Self-infection refers to infection caused by poor vaginal cleansing before artificial abortion. The common pathogen is anaerobic sclerotin. It is parasitized in the vagina. After abortion due to environmental changes in the body or damage to the uterine wall, the bacteria can invade and cause illness. Bacteria that have been parasited in other parts of the body can also be transmitted to the genital tract through blood circulation or hand contact to cause infection.
Invasive infection refers to bacteria entering the vagina from the outside world before, during or after abortion. If the disinfection of surgical instruments, dressings, gloves, etc. is not complete, pathogenic bacteria may be introduced. Bacteria can also be transmitted to the subject via the air. Premature sexual intercourse after abortion, poor personal hygiene and other factors can also cause external bacteria to invade the genital tract and cause infection.
Bacteria invade due to the strength of bacterial virulence and body resistance is different, the severity of the disease and development are also different, light vaginal infection; weight is caused by endometrial, pelvic connective tissue inflammation, patient fever, abdominal pain, if not Timely control can lead to septic shock and endanger life.
Post-operative abortion infections should be prevention-based. Before surgery to the hospital to check the vagina, cervix, pelvic whether there is inflammation, if there is timely treatment of inflammation, recovery after surgery.
No sexual intercourse within 3 days before surgery. Surgical instruments should be thoroughly disinfected. Preoperative vulvovaginal should be disinfected with benzalkonium and cervix should be sterilized with iodine alcohol. The surgeon must strictly perform the aseptic procedure. Do these things in order to avoid postoperative abortion infection.

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