Khosla A H, Devi L, Goel P, Saha P K
Department of Obstetrics & Gynaecology, Government Medical College and Hospital, Chandigarh, India.
JNMA J Nepal Med Assoc. 2010 Apr-Jun;49(178):112-6.
Puberty menorrhagia is a significant health problem in adolescent age group and severe cases may require admission and blood transfusion. Aim of this study was to evaluate the causes, associated complications and management of puberty menorrhagia.
Hospital records of all patients of puberty menorrhagia requiring admission were analyzed for etiology, duration since menarche, duration of bleeding, investigation profile and management.
There were 18 patients of puberty menorrhagia requiring hospital admission. Etiology was anovulatory bleeding in 11 patients, bleeding disorders in five which included idiopathic thrombocytopenia purpura in three and one each with Von-Willebrand disease and leukemia. Two patients had hypothyroidism as the cause. Fourteen patients presented with severe anaemia and required blood transfusion. All except one responded to oral hormonal therapy.
Puberty menorrhagia can be associated with severe complications and requiring blood transfusion. Although most common cause is anovulation but bleeding disorder, other medical condition and other organic causes must be ruled out in any patient of Puberty menorrhagia.
青春期月经过多是青少年年龄组中的一个重要健康问题，严重病例可能需要住院和输血。本研究的目的是评估青春期月经过多的病因、相关并发症及治疗方法。
对所有需要住院治疗的青春期月经过多患者的医院记录进行分析，以了解病因、初潮后的时间、出血持续时间、检查项目及治疗方法。
有18例青春期月经过多患者需要住院治疗。病因包括11例无排卵性出血，5例出血性疾病，其中3例为特发性血小板减少性紫癜，1例为血管性血友病，1例为白血病。2例患者病因是甲状腺功能减退。14例患者出现严重贫血，需要输血。除1例患者外，所有患者对口服激素治疗均有反应。
青春期月经过多可能伴有严重并发症并需要输血。虽然最常见的病因是无排卵，但在任何青春期月经过多的患者中，都必须排除出血性疾病、其他内科疾病及其他器质性病因。
