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女子月经前跑步致囊肿出血 失血量达全身血量一半

2018-04-16 11:21:05   封面新闻 

(医务人员为晓雯(化名)施行腹腔镜微创手术。图片由 通讯员 提供)

(医务人员为晓雯(化名)施行腹腔镜微创手术。图片由通讯员提供)

原标题:女子月经前跑步致囊肿出血,失血量达全身一半

星辰在线4月13日讯(通讯员梁辉李琴)36岁的晓雯(化名)有夜跑的习惯。4月9日晚,她像往常一样和朋友到橘子洲头跑步。跑完一圈准备回家时,突然肚子痛起来,不一会就痛得面色苍白,浑身冷汗,朋友赶紧把她送到湖南省人民医院急诊科就诊。

经急诊腹部和妇科B超后发现,晓雯的盆腔内有一个包块,腹腔有大量积液。医生询问病史得知,晓雯正处于来月经之前,刚刚进行了剧烈运动,考虑为黄体破裂出血,医生为其进行紧急手术。

术中发现,晓雯右侧卵巢有一个鸡蛋大小的黄体囊肿,囊肿表面有一个小破口正在出血,出血量达到2200毫升,对于体重54公斤的她来说,这相当于其全身总血量的51%。医护人员立即为她施行黄体囊肿剥除和创面缝合手术,恢复了卵巢的正常形态。

“女性在黄体期进行剧烈运动容易导致黄体囊肿破裂大出血”。林颖介绍,黄体破裂是妇科常见的急腹症之一,常见于20-40岁的育龄期女性,表现为不同程度的腹痛和腹腔内出血,严重的可出现失血性休克,甚至危及生命。

“因为生育的需要,女性对于排卵期往往比较关注,对于黄体期却不甚了解。”林颖提醒,每位女性都应了解卵巢的基本知识,学会计算卵泡期、排卵期和黄体期。来月经前的一周内最好不要进行剧烈运动,性生活也要动作轻缓;一旦出现运动或性生活后下腹疼痛,应立即停止、就地休息并及时就医;女性不要过度减肥,因为体瘦的女性更加容易发生黄体破裂。

相关链接:

卵巢的三个期,你了解吗?

1。卵泡期:自月经第一日至卵泡发育成熟称卵泡期,需10~14日。

2。排卵期:多发生在下次月经来潮前14日左右。

3。黄体期:排卵日至月经来潮为黄体期,一般为14日。黄体的“前世“是卵泡排卵后剩余的组织,寿命只有14天,在排卵后7~8天长到最大,9~10天开始退化,14天就完全退化,形成瘢痕(白体)。所以,有排卵才有黄体短暂的“今生”。

来源:星辰在线

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