veoexrmpzt
Dołączył: 21 Lut 2011
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 Wysłany: Pią 6:31, 25 Mar 2011 Temat postu: MBT schuhe preise nxj pqh fxzm rzp |
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Integrative Medicine of functional uterine bleeding in adolescent experience
Spring Spring bed data of 76 patients with dysfunctional uterine bleeding in patients aged 11 to 22 years old. Average 14.32 years old. 3 years after menarche, irregular menstrual history in 66 cases,[link widoczny dla zalogowanych], accounting for 86.84. Course of 1 to 6 years. Past history of medical or surgical disease in 8 patients,[link widoczny dla zalogowanych], accounting for 1O. 52. In all cases the blood,[link widoczny dla zalogowanych], platelet count, a clotting time,[link widoczny dla zalogowanych], thrombin time test and pelvic element B ultrasound. Patients out of 73 cases of normal clotting time, platelet count abnormal in 3 cases. 2 cases were diagnosed as adolescent functional uterine bleeding, later diagnosed with immune thrombocytopenic purpura. Hb <8g / d were 64 patients, accounting for 84.18, hemoglobin 8 ~ 11g / d in 12 cases, accounting for 15.82. 2 treatment methods and results are used in all cases of Integrative Medicine. Western medicine: The usual dosage of estradiol benzoate: 12mg / d, progesterone 80mg / d. Intramuscular injection once every 4 ~ 6h. Depending on the amount of vaginal bleeding, pre-admission medication, admission stage of the menstrual cycle in which the decision alone or in combination with hormones, estrogen and progesterone in the lowest effective dose. Chinese medicine: strengthening the foundation collapse just soup (Scutellaria 1.2g, Cork 1.2g, habitat 1.2g, Burnet 2g, Rhizoma Imperatae 3g, paeonol 1.5g, Health Puhuang 3g, Motherwort 1.5g, palm charcoal 1 .0 g) a day, followed by blood, only blood with a donkey plastic granules, twice a day, one pack each, a total of 30d. 50 patients with estrogen alone and traditional Chinese medicine treatment in 47 cases of blood in 24h only, accounting for 94. 2O cases were estrogen and progesterone, when combined with traditional Chinese medicine in 19 patients within 24h of blood only, accounting for 95.3 cases of patients after benzene acid estradiol 48mg / d (every 2h IM 4mg), progesterone 120mg / d (every 4h intramuscular 20mg), together with the blood only after the medicine. Another 2 cases of drug use in the above three cases based on the use of hydrocortisone 200mg / d before the blood only. Supernormal doses of dexamethasone during the first liver function test every 3d. A case of intractable bleeding, the consent of family members agreed with the blood until after curettage only. All the hormones are in the blood after only 2 ~ 3d decrease per 1 / 3 until the maintenance dose, followed by estrogen and progesterone cycle of therapy. 3O transfusion patients after discharge from hospital will do to promote artificial cycle therapy and add egg velvet drugs: clomiphene citrate, and promote human chorionic gonadotropin, basal body temperature curves and dynamic follow-up B-monitoring, until the prompt ovulation success. 71 cases in 76 patients with vaginal bleeding within 24h only, accounting for 93.4, the cure rate was 97.36%, average hospital stay was 7.32d. 2 patients after discharge without recurrence of prescribed medication and was readmitted. 3 discuss 1) the group of 76 patients, the incidence of patients within 3 years of menarche in 66 cases, accounting for 86.84. That more than half have irregular menstrual history. Tip of the hypothalamic-pituitary-ovarian axis dysfunction or immature. 2) The diagnosis must be detailed, comprehensive, in order to avoid delay in treatment, 76 cases in the last 2 cases were diagnosed as immune thrombocytopenic purpura, accounting for 2.63, worthy of attention, but lower than that reported in the literature. 3) The majority of adolescent patients with functional bleeding due to severe anemia caused by poor appetite, so estrogen and progesterone oral gastrointestinal reactions, difficult to accept. Therefore, conventional intramuscular injection of drugs, until a maintenance dose of oral use only. 4) the treatment of TCM-WM therapy. Not only confined in the conventional dose of estrogen and progesterone, but also carefully explore the effective minimum dose. We believe that the minimum effective dose of estrogen is: intramuscular injection of estradiol benzoate 2mg q4h or q6h. Decreasing also the case. If the bleeding dose, decreasing per 2d 1 / 3. Conversely, decreasing each time 3d. At the same time to observe the amount of vaginal bleeding. Medication to stop vaginal bleeding within 24h or significantly reduced effective. The endocrine regulation of puberty may also be controlled directly by the pineal gland of the body. Pineal gland secretion of anti-black tension gonadotropin active substances known by the transfer of blood or cerebrospinal fluid may be directly or specifically in the pituitary acts on the hypothalamus to regulate the secretion of hypothalamic hormones on the pituitary gland, thyroid, ' inhibited the adrenal cortex. So intractable adolescent dysfunctional uterine bleeding may increase with hydrocortisone treatment. 3 cases of our hospital, a significant effect. To prevent recurrence, we must Well ovulation induction treatment. 5) The exact effect of Integrative Medicine. Consolidate only to collapse Tang Yiyuan blood, solid red bleeding, blood donkey plastic granules can yin blood, spleen Qi, menstruation blood, it is highly conducive to the recovery of anemia. 6) adolescent functional uterine bleeding in patients young age, learning tight, and ashamed to treatment, admission is often severe symptoms, poor general condition, it should strengthen the knowledge of physiology missionary puberty, menarche, menstrual disorders girls should seek immediate medical attention to avoid serious impact on learning life, resulting in serious consequences. ,, Shu cough sequence control, reported that Jun is not. A Zhi, the hospital study II, two beer Medical West r
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