Emergency Department, Hofstra Northwell School of Medicine, Staten Island University Hospital, Staten Island, NY.
Associate Program Director, Emergency Medicine, Hofstra Northwell School of Medicine, Staten Island University Hospital, Staten Island, NY.
Emerg Med Pract. 2021 Aug;23(8):1-20. Epub 2021 Aug 1.
Uterine bleeding that is abnormal in timing, duration, or quantity affects nearly one-third of women and carries a substantial financial and quality-of-life burden. An estimated 5% of ED visits are for vaginal bleeding, and 1% of those patients will have a life-threatening cause that must be identified. Emergency clinicians need to have a comprehensive understanding of the pathophysiology and etiologies of abnormal uterine bleeding to manage and treat these patients. This issue reviews the most recent updates on common causes and the approach to abnormal uterine bleeding in the nonpregnant patient, including vaginal bleeding in prepubescent females.
异常的 timing、duration 或 quantity 的子宫出血影响了近三分之一的女性，并带来了巨大的经济和生活质量负担。估计有 5%的 ED 就诊是由于阴道出血，其中 1%的患者将有危及生命的原因，必须加以识别。急诊临床医生需要全面了解异常子宫出血的病理生理学和病因，以管理和治疗这些患者。本问题回顾了常见原因和非妊娠患者异常子宫出血（包括青春期前女性的阴道出血）的处理方法的最新更新。
