Post-abortion bleeding

Introduction The amount of vaginal bleeding after artificial abortion is more than the amount of menstruation or menstrual flow, or the amount of dripping less than 2 weeks, called "hemorrhage after artificial abortion." May be caused by residual part of the placenta, poor uterine contraction or infection. In addition, patients with uterine fibroids, endometriosis or liver and kidney dysfunction, coagulation disorders, etc., after artificial abortion surgery will also cause longer bleeding time, dripping more than. It seems to belong to the category of "postpartum lochia".

Cause

[pathology and pathology]

1. Qi deficiency: qi deficiency or abortion of qi and blood after surgery, the gas does not take blood, and the bleeding is not limited.

2. Kidney deficiency: kidney deficiency, abortion surgery damages the kidney and the palace, kidney deficiency is not solid, and the bleeding is not limited.

3. Damp heat: During the operation or after the operation, the patient feels the damp heat disease, the evil stays in the palace, and the veins are invaded and the bleeding is not limited.

4. Blood stasis: In the operation of human flow, the uterus, the collaterals, the qi stagnation and blood stasis, the sputum blocking the palace, the blood does not follow the bleeding and not only bleeding.

5. Cold coagulation: Inadequate living during or after surgery, feel cold evil, cold condensed cells and caused bleeding.

an examination

Related inspection

Determination of clotting factor activity in pelvic and vaginal B-ultrasound human chorionic gonadotropin (HCG)

[Diagnostic points]

1. According to the flow of bleeding after abortion, the bleeding is more than 2 weeks, or the amount of bleeding after abortion is more than the amount of menstruation.

2. Defining the cause of bleeding, suspected of residual placenta should be closely followed, urine HCG, B-ultrasound, etc., once diagnosed as placental residual, should be cured by curettage, scraping sent to pathological examination.

Differential diagnosis

Irregular vaginal bleeding: Irregular menstruation, that is, irregular vaginal bleeding with no obvious organic lesions in the internal and external genitalia. Found in vaginitis, endometritis, uterine fallopian tube inflammation.

Continuous vaginal bleeding: continuous vaginal bleeding in addition to normal menstruation. Found in genital inflammation, pathological pregnancy, endocrine disorders, trauma, tumors and so on.

A small amount of bleeding in the vagina: a small amount of continuous bleeding in the vaginal period during non-menstrual periods. Found in pregnancy, threatened abortion, menstrual disorders, ectopic pregnancy.

Continuous vaginal bleeding in the vagina: non-menstrual vaginal bleeding, moderate bleeding. Inflammation of the reproductive organs, pathological pregnancy, endocrine disorders, trauma, tumors, etc. 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 good 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.

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