生殖系统机制图

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1、Vaginalbleedingcycleorcausedbbleedingsites1)Uterus:Endom2)Adnexa:Ovan3)Vagina:VaginiendocrinetumourinflamimechanismmapofreproductivesystemfromGroup3Generaldata:female27Chiefcomplaint:Excessivemenstrualflowwithpassageofclotsfor3daysHistoryofpresentillness:dizziness

2、andlowfeverfor1dayOvarianfunctiondisorder1)anovulatorydysfunctionaluterinebleeding2)ovulatorymenstrualdysfunctionLeucorrheaIncreasepainUterinefibroid:IntramuralfibroidsSubmucosalfibroidsmalignanttumorGermiculturInfection一Lessblooddiagnosisofexclusiondizzinesslowfe

3、verMassiveHaemorrhage—anoxiaimmunesuppression，infectionmenstrualhistory:menarche:18bloodcoagulationsystem:-exclusion:hematopathyirregularmenstruation(bloodclots)一LMP:2011-6-15PMP:2011-3-21maritalhistory:marriedchildbearinghistory:0-0-1-0(pregnancyfortwomonths,abor

4、tion8monthsago)PasthistoryNopregnancyNohypertensionNohemopathyNocardiacdiseaseNohepatopathyNonephropathyinflammationPeritonitis:Tumour：renalfunction：Hyperthyroidism：-dysfunctionofliver:-exclusion:hepaticdysfunctionMassiveHaemorrhagephysicalexaminations:Height:165c

5、mWeight:70kgtemperature:37.5Cpulse:103/minHR:103/minBP:95/70mmHgRespiration:25/minAcneinfaceAnemicfacies:+Stainedyellow:-Hepatosplenomegaly:-Breathsoundsclearmuscleguarding:-reboundtenderness:-mass:-Abdominaltenderness:-tendernessofbladderregion:-edemainbothlowerl

6、imbsexclusion:drugorIUDinduceduterinebleeding:ERT/oralcontraceptivesinflammationhypopituitarism:-gynecologialexaminationsVulva:marriedtypeVaginaisunblockedbutwithbloodclotunusualsmell:-cervicalerosion:+cervicalliftingpain:-uterusisalittlelargerIndication:mildinfla

7、mmationexclusion:cervicalmyoma/cervicitis/ectopicpregnancyexclusion:malignanttumorPatternsofbleeding1)WithdrawalbleedingDecreaseinestrogen2)BreakthroughbleedingLowlevelofestrogenHighlevelofestrogen1)InadolescentsImmaturityofthehypothalamic-pituitary-ovarianaxis.Es

8、pecially,lowresponseofhypothalamusandpituitaryglandtopositivefeedbackfromestrogen.2)premenopausalLowresponseoftheremainingfolliclestogonadotropins.3)Wom