Arsenault P S, Gerbie A B
Pediatr Ann. 1986 Aug;15(8):577-9, 583-5. doi: 10.3928/0090-4481-19860801-06.
Vaginal discharges in prepubertal girls can be categorized under two broad headings--those with specific microbiological causes and, in the absence of such, those that are nonspecific in origin. For specific vulvovaginitis, treatment should be tailored to the findings on cultures, wet mounts, KOH, or other slide preparations. For the sexually transmissible organisms resulting in a vaginal discharge, thorough social service investigation should be undertaken in addition to appropriate antibiotic therapy. When a microbiological cause cannot be found and a foreign body has been ruled out, one is left with a diagnosis of nonspecific vulvovaginitis; treatment goals should be aimed at reassuring and re-educating the patient and parents in good hygienic practices as well as the elimination of potential irritants.
青春期前女孩的阴道分泌物可分为两大类——由特定微生物原因引起的，以及在没有此类原因时，那些起源非特异性的。对于特定的外阴阴道炎，治疗应根据培养、湿片、氢氧化钾或其他玻片检查结果进行调整。对于导致阴道分泌物的性传播病原体，除了适当的抗生素治疗外，还应进行全面的社会服务调查。当找不到微生物学原因且已排除异物时，就会诊断为非特异性外阴阴道炎；治疗目标应是让患者和家长放心，并对他们进行良好卫生习惯的再教育，同时消除潜在的刺激物。
