病例谈论2(国外英文资料)

　病例讨论2(国外英文资料)

　Ye, woman, 30, married. On June 1, 99, he walked like a hospital.

　Main action: no. 2 + months, nausea and vomiting for 2 weeks.

　Given the patient's sex, age and marital status, and the symptoms of nausea and vomiting, consider whether the patient is pregnant.

　Information is as follows: pregnancy reaction is to point to in the first trimester of pregnancy (menopause for around six weeks), a pregnant woman's body human chorionic gonadotropin (HCG), gastric acid secretion and gastric emptying time extended, cause dizziness, fatigue, loss of appetite, like acid food or disgust oily, a series of reactions such as nausea, vomiting since morning.

　Therefore, in time, the patient is likely to be pregnant.

　The present history: menstruation is not normal, 16 years old, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the Lasts 6 ~ 7 days, medium, no menstrual cramps. It is often used to do so, otherwise it is closed. In 93 and 96 had twice menstruation lasts 40 + days, dripping wet, constantly in our line of diagnostic curettage surgery, endometrial pathologic examination revealed endometrial type adenoid cystic hyperplasia is too long. The menstrual period was normal during treatment for 3 months.

　The history of the present medical history, the period is uncertain, the meridian is medium, no menstrual cramps, often need the medicine to be done. According to knowledge: the menstrual cycle at the bottom of the uterus and a body of endothelial function layer under the action of ovarian hormone secretion, periodic intimal hyperplasia of bleeding, peeling, the process of repair. Because in addition to the period of uncertainty, there is no menstrual cramps and other problems, the initial guess is that the neuroendocrine mechanism of the reproductive department is disturbed. Two large, long periods of bleeding in 93 and 96 should also be caused by unstable estrogen. To query the endometrial endometriosis hyperplasia, the following information:

　Dysfunctional uterine hemorrhagic disease, or "work blood", is a common gynecological disease. Women work characterized by irregular uterine bleeding, menstrual cycle disorder, menstrual period length is differ, much less blood loss, blood dripping wet months, sometimes with anemia. The endometrium is a cystic adenocarcinoma hyperplasia or adenoid hyperplasia. The "work blood" can be divided into the period of adolescence and the blood of the menopause. Adolescence more function due to the hypothalamus - pituitary - ovarian axis mature or delay between the hypothalamus body and ovary has not yet established a perfect positive feedback regulation mechanism, the pituitary gland follicle stimulating hormone (FSH) and luteinizing hormone (LH), follicular secrete estrogen, but should estrogen to the hypothalamus positive feedback has not been able to form a normal menstrual cycle of FSH and LH peak, and ovaries in despite of follicular but not ovulation (explains married eight years without pregnancy).

　Query women's health tablets: estrogen/progesterone and its associated synthetic drugs. (drug therapy effectively demonstrates that the problem is endocrine.)

　Has married eight years is not pregnant, half a year ago in our line of laparoscopy examination and treatment (parallel ovaries make hole found for ovarian cyst) nature of fancy 3 times, menstruation 99.3.1 ~ 3.6 at the end of the last period, menopause 2 + months now, nearly 2 magicyang have nausea and vomiting.

　Query ovarian cyst: ovarian tumor is born with the reproductive age of endocrine exuberant. A lot of patients with ovarian cysts and polycystic ovary syndrome patients clinically the basic pathophysiological changes are ovaries to produce too much testosterone, and excessive production of androgen is due to a variety of dysfunction of the endocrine system synergy results.

　The treatment effectively improves infertility and is therefore considered to be pregnant.

　In combination with patient and past history, ultrasound and HCG examination can be done.