Hematoma

Introduction Hysteroscopic hemorrhage is a serious complication after cesarean section. It is caused by uterine contraction after cesarean section and is a recessive hemorrhage. Because the bleeding does not flow outward, accumulated in the uterine cavity and vagina, it is easy to be ignored. A large amount of bleeding in a short period of time can quickly appear shock, a small amount of bleeding, as well as the formation of shock. Because of the cesarean section, maternal often because of the role of anesthetics, the reaction is not sensitive, coupled with intraoperative trauma, physical weakness, once the blood has a shock, if not treated in time, it can endanger the maternal life.

Cause

Hysteroscopic hemorrhage is a serious complication after cesarean section. It is caused by uterine contraction after cesarean section and is a recessive hemorrhage.

an examination

Related inspection

Gynecological ultrasound examination of pulse vaginal discharge examination hysteroscopic endoscopic ultrasonography

1, the end of the palace inspection

In the postpartum cesarean section, in addition to routine examination of vital signs, incision and whether the pipeline is smooth, we must focus on the height of the fundus. After the operation, the normal fundus height is below the umbilicus or about the umbilicus. If the fundus is found to be elevated, the uterus should be pressed immediately to discharge the blood. At the same time, uterine contraction is injected to promote uterine contraction.

2, pulse check

Due to the body's compensatory function, a large number of intrauterine hemorrhage in a short period of time, often the maternal blood pressure drop is not obvious, and the first change in pulse. If the pulse becomes weaker and weaker, suggesting the possibility of uterine hemorrhage, report it to the doctor immediately and promptly.

3, face color check

As the effects of anesthetics have not been eliminated, the mother may have pale face. However, if there is dizziness, thirst, irritability, shortness of breath, cold sweat, and apathy, you should be vigilant, find the cause, and find it in time to avoid delaying the illness.

4, secretion examination

After the cesarean section of the uterus is not opened, the blood clots in the uterine cavity block the cervix and there is no vaginal bleeding, or a red or yellowish discharge from the vagina. At this time, pay attention to the uterine cavity. Other signs of blood.

Differential diagnosis

Identification:

1, pelvic blood stasis: pelvic blood stasis syndrome (also known as pelvic septicemia) is a special disease caused by chronic pelvic venous stasis, is also one of the main causes of gynecological chronic pelvic pain, more common in 30-50 years old Maternal. Chinese medicine does not have this name. According to its clinical manifestations, it can be classified into abdominal pain, dysmenorrhea, and lowering. The pathogenesis is mainly blood stasis and dysfunction.

2, vaginal bleeding: vaginal bleeding is a common symptom of female genital diseases. Bleeding can come from the vulva, vagina, cervix and endometrium, but it is most common in the uterus. Although the amount of vaginal bleeding can be life-threatening, but the cause of benign disease, the prognosis is good, and the amount of bleeding is also the earliest symptoms of malignant tumors, such as neglect and delay treatment, causing adverse consequences.

3, uterine bleeding: abnormal uterine bleeding caused by abnormalities in the neuroendocrine mechanism regulating the reproductive system, known as dysfunctional uterine bleeding (referred to as dysfunctional uterine bleeding), is a common gynecological disease, more common in adolescence and menopause. Western medicine is divided into ovulation dysfunctional uterine bleeding (luteal dysfunction) and anovulatory function (follicular dysfunction) according to the degree of ovarian dysfunction.

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