病例谈论2(国外英文资料).docVIP

病例讨论2(国外英文资料) Ye, woman, 30, married. On June 1, 99, he walked like a hospital. Main action: no. 2 + months, nausea and vomiting for 2 weeks. Given the patients sex, age and marital status, and the symptoms of nausea and vomiting, consider whether the patient is pregnant. Information is as follows: pregnancy reaction is to point to in the first trimester of pregnancy (menopause for around six weeks), a pregnant womans body human chorionic gonadotropin (HCG), gastric acid secretion and gastric emptying time extended, cause dizziness, fatigue, loss of appetite, like acid food or disgust oily, a series of reactions such as nausea, vomiting since morning. Therefore, in time, the patient is likely to be pregnant. The present history: menstruation is not normal, 16 years old, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the period, the period of the Lasts 6 ~ 7 days, medium, no menstrual cramps. It is often used to do so, otherwise it is closed. In 93 and 96 had twice menstruation lasts 40 + days, dripping wet, constantly in our line of diagnostic curettage surgery, endometrial pathologic examination revealed endometrial type adenoid cystic hyperplasia is too long. The menstrual period was normal during treatment for 3 months. The history of the present medical history, the period is uncertain, the meridian is medium, no menstrual cramps, often need the medicine to be done. According to knowledge: the menstrual cycle at the bottom of the uterus and a body of endothelial function layer under the action of ovarian hormone secretion, periodic intimal hyperplasia of bleeding, peeling, the process of repair. Because in addition to the period of uncertainty, there is no menstrual cramps and other problems, the initial guess is that the neuroendocrine mechanism of the reproductive department is disturbed. Two large, long periods