150 Cases Analysis of Ectopic Pregnancy with Abdominal Cavity Hemorrhage

Objective:To study the relationship between timely diagnosis and active rescue of ectopic pregnancy with abdominal cavity hemorrhage and its prognosis. Methods:The clinical data of 150 cases analysis of ectopic pregnancy with abdominal cavity hemorrhage from January 2004 to December 2013 in Jiayu Hospital of Hubei Province and Qianjiang Central Hospital of Hubei Province were retrospectively analyzed. Results:Among the 150 patients of ectopic pregnancy with abdominal cavity bleeding,all the patients accepted open surgery successfully,27 cases with interstitial tubal pregnancy ruptures,which were treated by salpingectomy and ipsilateral cornual resection,5 cases with ovarian pregnancy,which were treated by ovary wedge resection,51 cases with tubal isthmus pregnancy ruptures,which were treated by ipsilateral salpingectomy,43 cases with tubal ampullary pregnancy ruptures,which were treated by ipsilateral salpingectomy,22 cases with tubal ampullary pregnancy abortion,among which 17 patients without bearing requirement were treated by ipsilateral salpingectomy,5 patients with bearing requirement salpingotomies were treated by salpingotomy and removing embryon,1 cases with abdominal pregnancy,1 cases with tubal fimbria pregnancy abortion,which was treated by ipsilateral salpingectomy. As to the prognosis,among the 150 patients,148 patients who accepted timely diagnosis and active rescue had excellent prognosis,1 patient who had postoperative temporary diabetes insipidus finally was relieved after treatment,1 patient who had longtime shock died because of quiting therapy. Conclusions:Timely diagnosis,active rescue,effective anti-shock treatment,blood transfusion,and controlling the bleeding by surgical removal of the ectopic pregnancy rupture lesion can effectively saving the patients' life and prevent the adverse prognosis of ectopic pregnancy with abdominal cavity hemorrhage.