在危险期间诊断和治疗急性异常子宫出血
Gabriela Pravatta-Rezende1, Cristina Laguna Benetti-Pinto2, Daniela Angerame Yela Gomes2
1Department of Obstetrics and Gynecology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.
Clinics (Sao Paulo, Brazil)
|March 10, 2025
概括
该协议指导医疗保健专业人员诊断和管理生育年龄妇女急性异常子宫出血 (AUB). 对AUB的及时干预可以稳定患者,预防并发症,并促进长期管理.
科学领域:
- 妇科 妇科 妇科 妇科
- 产科 产科 产科 产科 产科
- 生殖医学 生殖医学
背景情况:
- 异常子宫出血 (AUB) 是一个常见的妇科问题,需要立即医疗照顾.
- 急性AUB,定义为与怀孕无关的过度出血,需要立即干预以确保患者的稳定性.
研究的目的:
- 建立一个全面的诊断和管理急性异常子宫出血 (AUB) 在危险期间的协议.
- 概述急性AUB的常见原因,临床评估策略和治疗选择.
主要方法:
- 进行了对当前科学证据和临床指导方针的彻底审查.
- 为管理急性AUB的医疗保健专业人员开发了一种结构化的方法.
主要成果:
- 急性AUB需要立即干预,原因因患者年龄而异.
- 诊断评估包括评估临床稳定性,实验室工作和成像.
- 管理策略的范围从血液动力学稳定到医学疗法 (抗纤维素催化剂,荷尔蒙药物) 和手术选择.
结论:
- 在急性AUB的早期和有效干预对于最佳的患者结果至关重要.
- 及时治疗可以减少与过度子宫出血相关的并发症.
- 成功的急性管理有助于过渡到维持疗法,防止AUB的复发.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
34
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
34
Menses Phase
205
The uterine cycle begins with the menstrual phase, which is considered day one of the cycle and typically lasts about five days. This phase is characterized by the degeneration and shedding of the stratum functionalis, the functional layer of the endometrium.
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
205
The Menstrual Cycle
628
The menstrual cycle is a recurrent sequence of changes in the uterine endometrium, specifically its functional layer, the stratum functionalis. This cycle prepares the uterus for potential pregnancy. This cycle typically spans 21–35 days, averaging 28 days, and aligns with the ovarian cycle, regulated by fluctuating levels of ovarian hormones, primarily estrogen and progesterone.
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
628
Gastritis III: Clinical Manifestations and Management
110
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
110
Acute Pancreatitis II: Clinical Manifestations and Management
78
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
78


