妇产科常见症状的诊断与鉴别诊断

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妇产科常见症状的诊断与鉴别诊断. 北京协和医院妇产科万希润. 四大常见妇科症状. 血. 带. 痛. 块. 血. 阴道出血腹腔内出血其他出血. 闭经. 闭经. 原发 VS 继发原发性闭经： 5% 。多为发育异常或激素异常。继发性闭经： 95% ，器质性或非器质性异常引起。不同部位的异常及其相互影响子宫水平的异常：内膜异常。卵巢水平的异常：激素分泌的异常。垂体 / 下丘脑水平的异常：功能性或器质性异常。下丘脑 - 垂体 - 卵巢轴：正 / 负反馈. 阴道出血的原因. 卵巢内分泌功能变化：激素的紊乱与波动 - PowerPoint PPT Presentation

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VS 5%95%/--/
--
hCG
(PID)
/
:
/-
//
//
2-7/28730-4060ml/
/
/
/
//
/
DUB (disfunctional uterine bleeding)20%DUBAUB (abnormal uterine bleeding)MenorrhagiaHMB (heavy menstrual bleeding)Polymenorrhea
CASE 118594/56 mmHg/+BhCG 1860miu/ml
CASE 21622143110/70 mmHg
CASE 345212B-5cm70 g/L
/PH
///-//
///
10%KOHPH+10%KOH>20%vs
CASE 43510%KOH
CASE 527>20%
CASE 644
vs////
//
/To consult, or not to consult: that is the question:
///
7%
CASE 7275-6cmB5cmCA125 47 IU/ml
CASE 813
CASE 9323121
CASE 1026 1
//vs
vsvs5/6cm
/
CA125CA199 AFPhCG
///
/
/
CASE 11522BCA125 2300 IU/ml
CASE 12425cmB
CASE 13258cmB8cmCA199 540 IU/ml
73/17CT5cm?17-20
2110160/90 mmHg17-1811 g/L9 g/L9 g/L-8.3 g/L
8.6 g/L22B
To be a better recognizerTo make a better decision

80-90%PCOSPID1025-50%90%5