corpus luteum rupture

Corpus luteum rupture bleeding is one of the most common acute abdominal diseases in gynecology, may be related to external force, spontaneous rupture, coagulation disorders and other reasons. 1, external force This is one of the main reasons for corpus luteum rupture. Severe exercise, forced defecation, abdominal impact or extrusion and other external factors may lead to corpus luteum rupture. In addition, in the process of sexual life, if the male action is too rough, it may also cause the female abdomen to be strongly impacted, thus causing corpus luteum rupture bleeding. 2, spontaneous rupture of corpus luteum bleeding too much, too much pressure, may also occur spontaneous rupture. This situation is relatively rare, but once it occurs, it also needs to be taken seriously. 3. Coagulation disorders If the patient has coagulation disorders or abnormal blood coagulation, it may also lead to corpus luteum rupture. This may be related to long-term use of anticoagulant drugs or aplastic anemia, leukemia and other blood diseases. If the corpus luteum ruptures spontaneously and causes massive bleeding, resulting in reduced circulation and hemorrhagic shock, immediate medical treatment is required. First aid measures include monitoring vital signs, timely fluid replacement to correct ion disturbance, increasing circulatory perfusion to improve symptoms, and continuous low-flow oxygen and blood transfusion to maintain stable vital signs. For patients with small bleeding volume and mild symptoms, hemostatic drugs can be used to reduce blood outflow under the doctor's advice. Commonly used drugs include tranexamic acid tablets, etamsylate injection, etc. At the same time, anti-infective drugs such as cefuroxime axetil tablets and cefalexin granules are also needed to control infection, and non-steroidal anti-inflammatory drugs such as ibuprofen sustained-release capsules are used to relieve pain and promote recovery. If the amount of active bleeding is relatively large, or serious conditions such as pedicle torsion occur, surgery is required in time. The surgical procedures include laparoscopic luteal cyst dissection/suture, laparoscopic electrocoagulation, etc. The objective of the surgery is to aspirate the accumulated blood and perform electrocoagulation or suture hemostasis to preserve ovarian function as much as possible. Luteal rupture bleeding is a gynecological acute abdomen that needs attention. It is important to understand the causes and take effective preventive and therapeutic measures to protect women's health.