功血的诊治决策【爆款】.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * Once DUB has been diagnosed and pathologic causes ruled out, there are several goals of therapy. No single method is always effective. Many factors play a role in the decision to begin one therapy over another: age, severity of bleeding, no. of children, desire for fertility presence of associated pelvic pathology * * * * * * * * * * * * 诊 断 精选 诊断依据 病史 临床表现 体格检查 辅助检查 “You must exclude all organic causes first!” 精选 诊断要点 除外器质性疾病 全身性疾病 异常妊娠或妊娠并发症 生殖道感染 生殖道肿瘤 性激素类药物、避孕器使用 判断有无排卵 BBT 出血前5～9d测定孕酮水平 适时取内膜进行病理检查 确定出血模式 不规则出血 经间出血 精选