怎么区分先兆流产和月经 刘奇英 湖南中医药大学第二附属医院（湖南省中医院） скачать в хорошем качестве

怎么区分先兆流产和月经 刘奇英 湖南中医药大学第二附属医院（湖南省中医院）

怎么区分先兆流产和月经 刘奇英 湖南中医药大学第二附属医院（湖南省中医院） 先兆流产和月经有相同点也有不同点。二者的相同点是两者均有腰腹疼痛或下腹坠胀感或阴道出血。二者的不同点在于，先兆流产多数都有停经的病史，而且阴道流血的量比较少，它有可能出现时出时止，可能伴随有恶心、呕吐、乳房胀痛、尿频等早孕反应。如果月经它有可能是准时的。一般阴道流血3～7天会自然干净，如果恰巧出现了停经、量少等月经异常，一定要留取晨尿，查早孕试纸，必要时完善抽血检查，即血HCG、孕酮甚至通过B超检查以确诊。临床上还有一种特殊情况，中医称之为“激经”，它就是指怀孕以后月经仍能够按时来潮而且量、时间相对比较短，而对孕妇胎儿并没有明显的损害者，胚胎发育良好，它是属于一种生理现象但这种情况临床上一般是比较少见的。所以一般区分先兆流产和月经是不难的。 How to distinguish threatened abortion from menstruation Premonitory abortion and menstruation are the same and different. The similarity between them is that they both have pain in the waist and abdomen, feeling of fullness in the lower abdomen or vaginal bleeding. The difference between them is that, Most of threatened abortion have a history of amenorrhea, And the amount of vaginal bleeding is less, It may appear from time to time, It may be accompanied by nausea, vomiting, breast pain, frequent urination and other early pregnancy reactions. If menstruation it may be on time. Generally, vaginal bleeding will be naturally clean in 3-7 days, If you happen to have menstrual abnormalities such as amenorrhea and lack of menstruation, Be sure to take morning urine, Check the early pregnancy test paper, If necessary, improve the blood test, That is to say, hCG and progesterone in blood are even diagnosed by B-ultrasonic examination. There is also a special clinical situation, Traditional Chinese medicine calls it "Jin Jing", It means that menstruation can still come on time after pregnancy, and the amount and time are relatively short, And there is no obvious damage to pregnant women and fetus, The embryo is well developed, It belongs to a physiological phenomenon, but this kind of situation is rarely seen clinically. So it is not difficult to distinguish threatened abortion and menstruation.