Grubisić Z, Mitrović B
Jugosl Ginekol Opstet. 1976 Mar-Apr;16(2):115-9.
Following the definition and etiology, cases of juvenile bleeding in 66 patients were analysed in connection with the time of its occurrence, its clinical picture and therapy. In the authors' own material the percentage of juvenile bleeding was 4.18. It was noted that juvenile bleeding occurred most frequently in virgins (95.45%), that is in the first three gynecological years (78.79%). The mean value of menarche in juvenile bleeding is 12.7 years. The values of Hb at examination, that is on admission to hospital, illustrate the degree of anemia. There were 38 hospitalized patients, and in 28 patients blod transfusion was applied. The termination of bleeding was achieved by hormone therapy. A successful combination of estrogen-gestagen therapy in the sense of substitution was applied. Only in one case was exploratory curettage performed and this vas due to suspicion of residue following abortion.
根据定义和病因,对66例青少年出血病例进行了分析,涉及出血发生时间、临床表现及治疗情况。在作者自己的资料中,青少年出血的比例为4.18%。值得注意的是,青少年出血最常发生在处女(95.45%)中,即在最初三个妇科年份(78.79%)。青少年出血时月经初潮的平均值为12.7岁。检查时即入院时的血红蛋白值说明了贫血程度。有38例住院患者,其中28例患者接受了输血治疗。通过激素治疗实现了出血的终止。采用了有替代意义的雌激素 - 孕激素联合治疗。仅1例进行了诊断性刮宫,这是由于怀疑流产后有残留物。