[Overview]

Mature ovarian luteal some reason or foam packages stave damage caused bleeding, a lot can cause severe abdominal bleeding. namely ovarian rupture, it is luteal or follicular and luteal cyst rupture ruptured two. Have to unmarried women, may occur, the most common age for childbearing period.

[ET]

(1) : Spontaneous rupture of follicular or luteal hematoma hematoma continues to expand, the pressure to a certain extent, that is ruptured. Several high incidence of congestive incentives : Compared with ovarian closely related to reverse oppression as a result of ovarian or uterine prolapse. mechanical factors such as long-term vaginal lavage or pelvic inflammation disease, emergency, chronic congestive ovarian caused by appendicitis; ¢Ú ovarian function changes, such as excessive cold, hot bath, long-term use of estrogen or progesterone can cause ovarian function. autonomic nervous system caused by the impact or ovarian function of the enzyme system over-active, causing bleeding tendency or coagulation disorders; ¢Û blood changes in menstrual ago, infectious diseases, anemia and malnutrition or other circumstances caused some damage and blood platelet changes that cause bleeding.

(2) directly or indirectly by external influences ovarian rupture occurred, such as sexual intercourse, increase intra-abdominal pressure (hard stool, nausea, vomiting, weightlifting, etc.).

[Clinical]

No general history of irregular menstruation or amenorrhea history, more than half of the menstrual interim or pre-menstrual symptoms onset steep. sudden pain in the lower abdomen, a short time after the crash as persistent pain, in turn gradually reduce or drama. Dual may have nausea, vomiting but not significantly. The general absence of vaginal bleeding, severe bleeding can be symptoms of shock.

Examination light : only mild tenderness were lower abdomen, occurred on the right side of the point of tenderness within Markov point in the lower position lower Under severe abdominal tenderness Obviously, the anti-Tiaotong, but the phenomenon as generalized tonic abdominal peritonitis.

Double held consultations : cervical pain, the lateral side of a pin-prick. Normal uterus, mobile Palace pain. Bleeding can take a long time over the first annex or posterior vaginal fornix. Sometimes touched on the increased ovarian.

[Diagnosis]

Typical symptoms of ovarian rupture due to the lack of diagnosis more difficult, often on the right. very easy to be confused with acute appendicitis, ectopic pregnancy and mixed easily mistaken. Correct diagnosis, it is asked in detail about the history of menstruation and clinical examination, a comprehensive analysis.

Ruptured ovarian a certain relationship with the menstrual cycle can be used as the main basis for the diagnosis. 80% luteal ruptured ovarian cyst or corpus luteum, therefore, it is generally in the ovulation period, Most of the menstrual cycle, the end of one week, even in the incidence of menstrual phase UNSCEAR days. Follicle rupture of a small number of cases, often occurred in the mature follicles, and thus the general incidence of menstrual cycles in the 10th day to 18 days. Ruptured ovarian dysfunction in patients with ovarian general history, with the majority of ovulation cycle. Abdominal tenderness, but there was no consultation with both pelvic tenderness highly visible light menstrual history, that can be diagnosed. After the incidence of sexual intercourse if history is a greater possibility.

[Differential diagnosis --

(1) Acute appendicitis : ovarian rupture occurred on the right side more easily misdiagnosed as acute appendicitis. Onset of acute appendicitis often full of upper abdominal pain or abdominal pain, gradually limited Markov, nausea, vomiting more prominent tenderness. Tiaotong and muscle were obviously anti-tonic. Double consultation held pain and uterine cervix : Mobility is a slight pain, and ovarian rupture completely opposite. Light gradually ease the symptoms of ovarian rupture and internal bleeding symptoms and signs of acute appendicitis, and in no appendicitis.

(2) : abortion or ruptured tubal pregnancy misdiagnosed as ovarian rupture ruptured tubal pregnancy or abortion. But if asked in detail about menstrual history, attention to the disease occurred in the menstrual cycle, can generally identify. Amenorrhea often short history of tubal pregnancy, a small amount of vaginal bleeding, recurrent abdominal pain. Pelvic pain obviously inconsistent, to the palpable mass. Such as infertility, with the ruptured ovarian different.

[Treatment]

Bed rest and closely watched, using herbs to stasis, to tackle the main plot, plus Qingrejiedu appropriate drugs.

Excessive bleeding shock symptoms, critical illness, surgery immediately, so as not to delay treatment.

Operation principle must find ways to preserve ovarian function. I can see the general breakdown of the ovary or from the newly formed blood out of the corpus luteum. Fine catgut suture chain may rupture or a corpus luteum cyst enucleation edge chain will be assembled.

This article was posted on 2007-02-27