Patient T.T.D (37 years old, residing in Cam Khe commune, Phu Tho province) had regular menstruation, this period was 3 days late, the HCG test result was positive. About 5 days before being admitted to the hospital, the patient developed pain in the lower abdomen, accompanied by black vaginal bleeding. The pain increased and became intense, forcing the patient to go to the Obstetrics Department, Cam Khe Regional Medical Center for examination.
Through clinical examination, doctors recorded that the patient's abdomen was soft but swollen, pressing on the lower abdomen was painful, with clear abdominal wall reactions. Ultrasound results showed that there was a lot of free fluid in the abdominal cavity, no fetal sac was detected in the uterine cavity; beta-HCG test was positive. Based on clinical and paraclinical signs, doctors diagnosed the patient with ruptured right uterine eclampsia, abdominal hemorrhage.
Faced with critical condition, the patient was indicated for emergency laparoscopic surgery immediately. During the surgery, the team proceeded to remove the uterine uterine lump, and at the same time stopped bleeding in time to limit blood loss for the patient. After about 40 minutes, the surgery was completed. The total amount of blood lost by the patient is estimated at about 700 ml. Thanks to being treated quickly and according to the protocol, the patient survived the danger.
After surgery, the patient was monitored and treated intensively post-operatively. After 7 days of treatment, the patient's health stabilized and he was discharged from the hospital in a safe condition.
Doctor CKII Ha Thi Hai Huong - Head of Obstetrics and Reproductive Health Care Department, Cam Khe Regional Health Center - said: Ectopic pregnancy is a dangerous obstetric condition, which can cause massive blood loss, shock and death if not detected and treated promptly. Therefore, when there are signs such as late periods, abnormal abdominal pain, vaginal bleeding, women need to go to a medical facility immediately for examination, monitoring and timely treatment, in order to prevent dangerous complications that affect health and life.
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