In Puncture pramokishechno-matern of raise needed liquid. Normally contents of a syringe, 3-5 ml of liquid transparent yellowish. If there is blood in the abdominal cavity are dark liquid blood. Content in sprite may not be the solders or in the blood clots that does not diminish diagnosis ectopic pregnancy. 5. Laparoscopies and kuldoskopia allow inspection uterine tubes and ovaries, the diagnosis is in doubt. The risk associated with laparoscopy, much smaller than the risk of serious consequences, nediagnostirovanna ectopicescoy pregnancy. Recommandations for laparoscopy are over peritonitis, rubtsove change the front abdominal wall, flatulence, severe disorders and cardiovascular disease being decompensation. 6. Gistologicescoe study endometrium. In vskablivanii uterus cavity at the pathological bleeding (for example, suspected spontaneous abortion) obtained deciduhalnaya tissue without vorsin sampling in samples endometrium indicates 0-28 pregnancy. Additionally, in examining samples can be identified Arias-stella phenomenon, the abnormal cells in the endometrii nabuhaniem, wakuolizaciei protoplazma, giperhromaziei, overdetermination nuclei fragmentation that appear in response to the hormonal changes of pregnancy. 7. Testing of small pelvis. This study provides data on krovenapolnenia various organs, and consequently to their functional activity. Treatment ectopicescoy pregnancy In modern practice is still subject to prompt and conservative methods for the treatment of ectopic pregnancy. Both methods have their advantages and disadvantages. The contemporary foreign literature (Gollesky, Goshert et al sponsors) has been informed that the successful use of synthetic drugs gormonopodobnykh and methotrexate for the treatment of tubular pregnancy. In our country, an integrated approach to the treatment of ectopic pregnancy. It includes 1. Operation. 2. The fight against bleeding, haemorrhagic shock, krovopoterei. 3. Maintenance postoperative period. 4. Rehabilitation reproductive function. Operation used in prerwawrzyisa tubular pregnancy. All described below operation can be performed as a laparotomiceski or laparoscopic fashion. The benefits laparoscopiceskih techniques include : * Reducing the duration of the operation. * Reduced postoperative period. * The length of stay in hospital.
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