CLINICOMORPHOLOGICAL SUBSTANITIATION OF REHABILITATION THERAPY AFTER ECTOPIC PREGNANCY

Abstract

Purpose: To demonstrate the need of rehabilitation actions for patients, nearly died from aborted tubal pregnancy.Material and Methods: Comparative clinical analysis of two groups of patients (1st and 2nd) after tubectomy due to abortedtubal pregnancy and different blood loss. The blood loss in 1st group did not exceed 500 ml, and in 2nd group (nearly diedpatients - «near miss») - more than 1500 ml. The 3 group was contained of died patients.Results: It was identified a significant causal dependence of pathomorphological changes of anterior pituitary and adrenal glandfrom the blood loss volume, characterizing compensatory mechanism in acute adrenocortical insufficiency, attributable to anyshock, including posthemorrhagic. The data, obtained in the group of maternal deaths, allow to extrapolate the identified changesand suppose the development of these changes for patients, nearly died from major bleeding due to aborted tubal pregnancy.Summary:The presented data of autopsy of characteristic morphological changes of anterior pituitary and adrenal gland,depending on the blood loss volume, determine the direction of rehabilitation for «near of miss» patients.

Keywords

• ectopic pregnancy
• blood loss
• rehabilitation