The nature of the work of the emergency room is to race against time and snatch people from death. Some patients are seriously ill, complicated and deteriorating rapidly, and they will choose the emergency department when they are sent to the hospital.
Scene reproduction
Xiaoli's father is a doctor and her mother is a head nurse. Influenced by her parents, she wanted to be angels in white since she was a child. Through the springboard of the national college entrance examination, she was successfully admitted to her ideal medical university.
Xiaoli yearns for a better life in college, freedom and relaxation. She knows that the road to study medicine is long and arduous, and it costs a lot of money. In order to reduce the financial burden on her family, she often works part-time in a pharmacy on weekends.
Xiaoli persisted in this way, in order to become a real angels in white at an early date. Time always flies. In her junior year, Xiaoli asked for an internship at school, so Xiaoli took her mother to work in a well-known hospital with her parents' recommendation.
Just two weeks ago, Xiaoli went to the emergency room to study under the leadership of the leader. 1 On that day, she met four emergency patients in succession. All the medical records of these four women are actually corpus luteum rupture.
-the first patient with progesterone rupture:
Following Liu Genghong's fitness and weight loss, it became popular on the Internet recently, but 1 batch of victims also appeared. Some people have mild symptoms, such as leg pain and foot pain, and some people have very serious symptoms, even corpus luteum rupture.
A 22-year-old female college student was doing aerobics with Liu Genghong in the dormitory when she suddenly had abdominal pain. Later, accompanied by her classmates, she went to the hospital for examination. It was found that excessive exercise led to the rupture of ovarian corpus luteum, which led to abdominal bleeding. When she was taken to the hospital, her blood loss reached 25% of her whole body blood.
-the second patient with progesterone rupture:
Xiaoli has just come to the emergency department and is not familiar with anything. She can only watch senior nurses and doctors treat her. Suddenly, she noticed a girl waiting for a call at the door of the emergency room. She observed that the girl was pale, with sweat on her forehead, and could not stand up with her hands covering her stomach.
After Xiaoli found out, she reported to the leader and directly took the girl to the exam. Through examination, it was found that the corpus luteum ruptured, which led to the gradual increase of blood volume in abdominal cavity and aggravated abdominal pain.
-the third patient with progesterone rupture:
This is a couple who just got married in the sweet period. It is understood that when they were living together, his wife suddenly felt unbearable abdominal pain and broke out in a cold sweat. Soon after, she fainted and was sent to the emergency room by her husband's family for treatment.
The doctor found that the woman was pale and sweaty. The examination showed that the corpus luteum was broken and the snow in the abdominal cavity had reached 1500 ml, which was very critical.
-the fourth patient with progesterone rupture:
This is a 16-year-old girl who was rushed to the hospital by her parents because of severe abdominal pain. After receiving treatment, the results of B-ultrasound showed that there was a lot of blood in the abdominal cavity. Through emergency examination, it was found that progesterone rupture caused a lot of bleeding.
What is corpus luteum?
The corpus luteum is the product of periodic ovarian changes in women of childbearing age. In the middle of each menstrual period, follicles mature. After ovulation, the follicle collapses and bleeds, forming a blood clot. The granulosa cells left in the follicle are hypertrophy and hyperplasia, containing yellow lipids, which are called "luteal cells", and luteal cells gradually form luteal bodies.
The corpus luteum reached its peak one week after ovulation, with a diameter of 65438±0.3cm, and the inner layer was covered with abundant capillaries. At this time, if the egg is fertilized, this general corpus luteum becomes the corpus luteum of pregnancy, which can continue to degenerate to 46 months of pregnancy; If unfertilized, the corpus luteum begins to degenerate and gradually forms a white body until it disappears. After 46 days, menstruation came and a new follicle began to develop in the ovary.
Rupture of corpus luteum is one of the common acute abdomen in gynecology, which generally appears in young women of 14 30. However, the harm of corpus luteum rupture to people varies from person to person, so don't worry too much.
What is the cause of female corpus luteum rupture?
Automatic rupture is a common cause of corpus luteum rupture.
Under normal circumstances, a female friend's corpus luteum will have a small amount of bleeding, but once the amount of bleeding is large, the corpus luteum will spontaneously rupture due to the increase of internal pressure.
2, unhealthy life will also make female friends suffer from corpus luteum rupture. Female friends' reproductive organs will be in a state of expansion and congestion during sexual life, and the tension inside the corpus luteum will increase, which will promote the rupture of the corpus luteum.
In addition, if men are too rude in sexual life, it will also lead to the rupture of the abdomen of female friends due to strong impact.
3. Elevated intra-abdominal pressure can also lead to luteal rupture. The common conditions that can lead to the increase of intra-abdominal pressure mainly include long-term constipation, severe cough and abdominal impact. These factors may cause abnormal rupture of mature corpus luteum of female friends.
What are the symptoms of female corpus luteum rupture?
Some may be only sudden but slight pain on one side of the lower abdomen, and the broken capillaries in the yellow body heal themselves. There may also be severe and unbearable abdominal pain, which is due to the rupture of blood vessels in the yellow body and the flow of blood to the abdominal cavity, leading to persistent abdominal pain, which can cause hemorrhagic shock in severe cases.
Symptoms can occur in married or unmarried women, especially women of childbearing age. Generally, on the 20th and 27th day of menstrual cycle, I suddenly have lower abdominal pain, nausea, vomiting, frequent urination and defecation.
There are also a few patients who have abdominal pain in the middle of menstruation or 30-40 days. Physical examination showed anemia, rapid pulse and decreased blood pressure. Abdominal tenderness, moving dullness positive. Pain, fullness and tenderness in the neck of the posterior fornix; A vague lump can be felt on one side of the uterus, which feels like tender tofu in the early stage, hard and inactive in the later stage, with obvious tenderness.
Reading Extension —— Matters needing attention after corpus luteum rupture surgery
1, fasting longan, red dates, donkey-hide gelatin, royal jelly and other hot, coagulated and hormonal foods.
2. Avoid spicy, alcohol, frozen and other foods.
3, diet, eat less and eat more meals, low in fat and high in protein, eat more lean meat, milk, eggs, vegetables and fruits.
4, not partial eclipse, eat more whole grains, beans and so on.
5, often eat nutritious dried fruit foods, such as peanuts, sesame seeds, melon seeds and so on.
6, the diet should be light, do not eat mutton, shrimp, crab, eel, salted fish, snakehead and other hair.
Rupture of corpus luteum is an easily recurring disease. The doctor will ask the patient to do a post-operative review. After about one month of surgical treatment, the patient can go back to the hospital to review the rupture of corpus luteum.
On the one hand, routine gynecological examination is needed for reexamination, on the other hand, vaginal color ultrasound examination and B-ultrasound examination may be carried out, which can check the degree of postoperative recovery of patients.