Fishman A, Paldi E
Department of Obstetrics and Gynecology, Rambam Medical Center, Technion Faculty of Medicine, Haifa, Israel.
Obstet Gynecol Surv. 1991 Jul;46(7):457-60. doi: 10.1097/00006254-199107000-00016.
Vaginal bleeding in childhood is not a common complaint. Serious medical or sociological problems can underly this irregular symptom in young girls. Therefore it requires careful medical investigation followed by appropriate sociologic and psychologic support. The variable etiologies of vulvovaginitis are the most common causes of vaginal bleeding during the prepubertal period. External blood loss can be related to trauma or urologic factors. It can be the presenting sign of relatively rare benign and malignant neoplasms of the genital tract. Precocious menstruation in itself or as a part of precocious puberty must be suspected in these cases. Vaginal bleeding in prepubertal girls is uncommon but warrants careful evaluation because of the special status of the young patient.
儿童期阴道出血并非常见症状。严重的医学或社会学问题可能是年轻女孩出现这种不规则症状的潜在原因。因此，需要进行仔细的医学检查，随后给予适当的社会学和心理学支持。外阴炎和阴道炎的多种病因是青春期前阴道出血最常见的原因。外部失血可能与创伤或泌尿系统因素有关。它可能是相对罕见的生殖道良性和恶性肿瘤的表现体征。在这些病例中，必须怀疑早熟月经本身或作为性早熟的一部分。青春期前女孩的阴道出血并不常见，但鉴于年轻患者的特殊情况，值得仔细评估。
