https://www.yiliao.com/index.php?action=history&feed=atom&title=%E7%9B%86%E8%85%94%E6%B7%A4%E8%A1%80 2026-04-21T20:10:36Z 本wiki的该页面的版本历史 MediaWiki 1.35.1 https://www.yiliao.com/index.php?title=%E7%9B%86%E8%85%94%E6%B7%A4%E8%A1%80&diff=242431&oldid=prev 2015-01-08T05:35:24Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月8日 (四) 05:35的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l8" >第8行：</td> <td colspan="2" class="diff-lineno">第8行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>精神因素及其他：长期忧郁、久病、失眠及情绪不稳定在PCS患者中较为常见。激惹性的暗示刺激后,PCS患者盆腔血流增加</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>精神因素及其他：长期忧郁、久病、失眠及情绪不稳定在PCS患者中较为常见。激惹性的暗示刺激后,PCS患者盆腔血流增加</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==临床表现==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==临床表现==</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l31" >第31行：</td> <td colspan="2" class="diff-lineno">第32行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1.盆腔静脉造影术</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1.盆腔静脉造影术</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>轻型:造影剂廓清时间为20-40s,卵巢静脉直径11-15mm;中型:造影剂廓清时间为40~605,卵巢静脉直径16-20mm;重型:造影剂廓清时间超过60s,卵巢静脉直径可达21-25mm</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>轻型:造影剂廓清时间为20-40s,卵巢静脉直径11-15mm;中型:造影剂廓清时间为40~605,卵巢静脉直径16-20mm;重型:造影剂廓清时间超过60s,卵巢静脉直径可达21-25mm</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>2.体位试验</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>2.体位试验</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>让患者先取膝胸卧位,由于盆腔静脉压降低,一F腹痛症状可减轻或消失。再改为臀部向后坐在足跟部的位置,使头部与胸部略高于下腹部,此时由于腹股沟屈曲较紧,骼外动脉向股动脉的血流受阻,使骼内动脉分流量加大,盆腔回流增多,静脉压上升而淤血,故不出现下腹痛,此为试验阳性。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>让患者先取膝胸卧位,由于盆腔静脉压降低,一F腹痛症状可减轻或消失。再改为臀部向后坐在足跟部的位置,使头部与胸部略高于下腹部,此时由于腹股沟屈曲较紧,骼外动脉向股动脉的血流受阻,使骼内动脉分流量加大,盆腔回流增多,静脉压上升而淤血,故不出现下腹痛,此为试验阳性。</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>3.盆腔血流图</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>3.盆腔血流图</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>4.放射性核素</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>4.放射性核素</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>5.超声检查</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>5.超声检查</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>6.腹腔镜检查</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>6.腹腔镜检查</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l43" >第43行：</td> <td colspan="2" class="diff-lineno">第49行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>根据PCS病因,注意休息及体位调节,避免长期站立和睡眠仰卧位。适当的体育锻炼增进盆腔肌张力及改善盆腔血循环。对于子宫后位的患者,每日2一3次持续10min的膝胸卧位,以利于盆腔疼痛症状减轻或缓解。另外注意心理调节治疗。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>根据PCS病因,注意休息及体位调节,避免长期站立和睡眠仰卧位。适当的体育锻炼增进盆腔肌张力及改善盆腔血循环。对于子宫后位的患者,每日2一3次持续10min的膝胸卧位,以利于盆腔疼痛症状减轻或缓解。另外注意心理调节治疗。</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>药物疗法</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>药物疗法</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">对症治疗：1</del>.淤血以活血化淤、改善盆腔血液循环为目的。可采用复方丹参注射液12ml,配合葡萄糖液静滴,每日一次,10-14          天为一疗程。也可用中药少腹腔淤汤治疗。2.其他症状植物神经调节药、镇静药或肌肉营养药的试用,如谷维素、维生素E、氢澳酸、加兰他敏、新斯的明、地西绊(安定)等,对于减轻各种慢性疼痛,改善睡眠有一定效果。双氢麦角胺静脉注射可以有效地收缩卵巢静脉,在数小时内明显缓解患者疼痛。</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">对症治疗</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">1</ins>.淤血以活血化淤、改善盆腔血液循环为目的。可采用复方丹参注射液12ml,配合葡萄糖液静滴,每日一次,10-14          天为一疗程。也可用中药少腹腔淤汤治疗。2.其他症状植物神经调节药、镇静药或肌肉营养药的试用,如谷维素、维生素E、氢澳酸、加兰他敏、新斯的明、地西绊(安定)等,对于减轻各种慢性疼痛,改善睡眠有一定效果。双氢麦角胺静脉注射可以有效地收缩卵巢静脉,在数小时内明显缓解患者疼痛。</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>手术治疗</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>手术治疗</div></td></tr> </table>

超级小松松 https://www.yiliao.com/index.php?title=%E7%9B%86%E8%85%94%E6%B7%A4%E8%A1%80&diff=242430&oldid=prev 2015-01-08T05:33:59Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月8日 (四) 05:33的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l14" >第14行：</td> <td colspan="2" class="diff-lineno">第14行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>腔静脉淤血引起疼痛,可能是扩张弯曲的静脉压迫了淋巴管和神经纤维。妇科检查子宫常呈后位,对称性增大、变软、充血及盆腔触痛具有一定的提示性,但并非特异。宫颈肥大淤血呈蓝紫色、阴道弯窿或阴道壁呈现蓝紫色、外阴和下肢静脉曲张直</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>腔静脉淤血引起疼痛,可能是扩张弯曲的静脉压迫了淋巴管和神经纤维。妇科检查子宫常呈后位,对称性增大、变软、充血及盆腔触痛具有一定的提示性,但并非特异。宫颈肥大淤血呈蓝紫色、阴道弯窿或阴道壁呈现蓝紫色、外阴和下肢静脉曲张直</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>接提示静脉淤血的存在,但是这些表现发生率低。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>接提示静脉淤血的存在,但是这些表现发生率低。</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>2.腰背疼痛</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>2.腰背疼痛</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>3.深部性交疼痛</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>3.深部性交疼痛</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>4.月经量多、白带增多</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>4.月经量多、白带增多</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>5.妇科检查阳性体征少。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>5.妇科检查阳性体征少。</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>6.其他</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>6.其他</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>包括性交痛、淤血性痛经、极度疲劳感、乳房胀痛、外阴肿胀以及植物神经症状。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>包括性交痛、淤血性痛经、极度疲劳感、乳房胀痛、外阴肿胀以及植物神经症状。</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;"></del></div></td><td colspan="2"> </td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==诊断==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==诊断==</div></td></tr> </table>

超级小松松 https://www.yiliao.com/index.php?title=%E7%9B%86%E8%85%94%E6%B7%A4%E8%A1%80&diff=242429&oldid=prev 2015-01-08T05:33:25Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月8日 (四) 05:33的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l4" >第4行：</td> <td colspan="2" class="diff-lineno">第4行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==病因==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==病因==</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>解剖因素：盆腔静脉数量多于动脉,且静脉壁明显薄弱,缺乏由筋膜组成的外鞘,因此弹性差,容易扩张导致静脉血流淤滞。各种使盆腔静脉压力增高因素,如长期站立、子宫后位子宫卵巢丛血管随子宫体下降屈曲在骼凹的两侧、分娩时过早使用腹压及频繁的性交及分娩、习惯性便秘直肠静脉回流受阻均容易引起子宫阴道丛充血,造成盆腔淤血综合征。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>解剖因素：盆腔静脉数量多于动脉,且静脉壁明显薄弱,缺乏由筋膜组成的外鞘,因此弹性差,容易扩张导致静脉血流淤滞。各种使盆腔静脉压力增高因素,如长期站立、子宫后位子宫卵巢丛血管随子宫体下降屈曲在骼凹的两侧、分娩时过早使用腹压及频繁的性交及分娩、习惯性便秘直肠静脉回流受阻均容易引起子宫阴道丛充血,造成盆腔淤血综合征。</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>内分泌因素：妊娠期间黄体和胎盘分泌的大量雌孕激素使血管平滑肌舒张,增加盆腔血管的扩张性,盆腔静脉极度扩张充血,使静脉瓣膜进一步遭到破坏。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>内分泌因素：妊娠期间黄体和胎盘分泌的大量雌孕激素使血管平滑肌舒张,增加盆腔血管的扩张性,盆腔静脉极度扩张充血,使静脉瓣膜进一步遭到破坏。</div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>精神因素及其他：长期忧郁、久病、失眠及情绪不稳定在PCS患者中较为常见。激惹性的暗示刺激后,PCS患者盆腔血流增加</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>精神因素及其他：长期忧郁、久病、失眠及情绪不稳定在PCS患者中较为常见。激惹性的暗示刺激后,PCS患者盆腔血流增加</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> </table>

超级小松松 https://www.yiliao.com/index.php?title=%E7%9B%86%E8%85%94%E6%B7%A4%E8%A1%80&diff=242428&oldid=prev 2015-01-08T05:32:26Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月8日 (四) 05:32的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3" >第3行：</td> <td colspan="2" class="diff-lineno">第3行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==病因==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==病因==</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">  </del>解剖因素：盆腔静脉数量多于动脉,且静脉壁明显薄弱,缺乏由筋膜组成的外鞘,因此弹性差,容易扩张导致静脉血流淤滞。各种使盆腔静脉压力增高因素,如长期站立、子宫后位子宫卵巢丛血管随子宫体下降屈曲在骼凹的两侧、分娩时过早使用腹压及频繁的性交及分娩、习惯性便秘直肠静脉回流受阻均容易引起子宫阴道丛充血,造成盆腔淤血综合征。</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>解剖因素：盆腔静脉数量多于动脉,且静脉壁明显薄弱,缺乏由筋膜组成的外鞘,因此弹性差,容易扩张导致静脉血流淤滞。各种使盆腔静脉压力增高因素,如长期站立、子宫后位子宫卵巢丛血管随子宫体下降屈曲在骼凹的两侧、分娩时过早使用腹压及频繁的性交及分娩、习惯性便秘直肠静脉回流受阻均容易引起子宫阴道丛充血,造成盆腔淤血综合征。</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">  </del>内分泌因素：妊娠期间黄体和胎盘分泌的大量雌孕激素使血管平滑肌舒张,增加盆腔血管的扩张性,盆腔静脉极度扩张充血,使静脉瓣膜进一步遭到破坏。</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>内分泌因素：妊娠期间黄体和胎盘分泌的大量雌孕激素使血管平滑肌舒张,增加盆腔血管的扩张性,盆腔静脉极度扩张充血,使静脉瓣膜进一步遭到破坏。</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">  </del>精神因素及其他：长期忧郁、久病、失眠及情绪不稳定在PCS患者中较为常见。激惹性的暗示刺激后,PCS患者盆腔血流增加</div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>精神因素及其他：长期忧郁、久病、失眠及情绪不稳定在PCS患者中较为常见。激惹性的暗示刺激后,PCS患者盆腔血流增加</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==临床表现==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==临床表现==</div></td></tr> </table>

超级小松松 https://www.yiliao.com/index.php?title=%E7%9B%86%E8%85%94%E6%B7%A4%E8%A1%80&diff=242427&oldid=prev 2015-01-08T05:31:10Z

<p>以“&#039;&#039;&#039;盆腔淤血综合征&#039;&#039;&#039;（pelvic congestion syndrome，PCS）是一个以盆腔静脉曲张淤血为病理基础,以慢性盆腔疼痛为主要症状的临床综...”为内容创建页面</p> <p><b>新页面</b></p><div>'''盆腔淤血综合征'''（pelvic congestion syndrome，PCS）是一个以盆腔静脉曲张淤血为病理基础,以慢性盆腔疼痛为主要症状的临床综合征。<br /> <br /> <br /> ==病因==<br /> 解剖因素：盆腔静脉数量多于动脉,且静脉壁明显薄弱,缺乏由筋膜组成的外鞘,因此弹性差,容易扩张导致静脉血流淤滞。各种使盆腔静脉压力增高因素,如长期站立、子宫后位子宫卵巢丛血管随子宫体下降屈曲在骼凹的两侧、分娩时过早使用腹压及频繁的性交及分娩、习惯性便秘直肠静脉回流受阻均容易引起子宫阴道丛充血,造成盆腔淤血综合征。<br /> 内分泌因素：妊娠期间黄体和胎盘分泌的大量雌孕激素使血管平滑肌舒张,增加盆腔血管的扩张性,盆腔静脉极度扩张充血,使静脉瓣膜进一步遭到破坏。<br /> 精神因素及其他：长期忧郁、久病、失眠及情绪不稳定在PCS患者中较为常见。激惹性的暗示刺激后,PCS患者盆腔血流增加<br /> <br /> ==临床表现==<br /> 盆腔淤血综合征临床特点为“三痛两多一少”。<br /> 1.腹盆腔坠痛<br /> 腔静脉淤血引起疼痛,可能是扩张弯曲的静脉压迫了淋巴管和神经纤维。妇科检查子宫常呈后位,对称性增大、变软、充血及盆腔触痛具有一定的提示性,但并非特异。宫颈肥大淤血呈蓝紫色、阴道弯窿或阴道壁呈现蓝紫色、外阴和下肢静脉曲张直<br /> 接提示静脉淤血的存在,但是这些表现发生率低。<br /> 2.腰背疼痛<br /> 3.深部性交疼痛<br /> 4.月经量多、白带增多<br /> 5.妇科检查阳性体征少。<br /> 6.其他<br /> 包括性交痛、淤血性痛经、极度疲劳感、乳房胀痛、外阴肿胀以及植物神经症状。<br /> <br /> <br /> ==诊断==<br /> 初步确诊：根据患者的年龄、病史、症状、体征腹痛出现的原因不太清楚,但常出现在多(症状与体征往往不符)即可初步确诊。<br /> 实验室检查：<br /> 1.盆腔静脉造影术<br /> 轻型:造影剂廓清时间为20-40s,卵巢静脉直径11-15mm;中型:造影剂廓清时间为40~605,卵巢静脉直径16-20mm;重型:造影剂廓清时间超过60s,卵巢静脉直径可达21-25mm<br /> 2.体位试验<br /> 让患者先取膝胸卧位,由于盆腔静脉压降低,一F腹痛症状可减轻或消失。再改为臀部向后坐在足跟部的位置,使头部与胸部略高于下腹部,此时由于腹股沟屈曲较紧,骼外动脉向股动脉的血流受阻,使骼内动脉分流量加大,盆腔回流增多,静脉压上升而淤血,故不出现下腹痛,此为试验阳性。<br /> 3.盆腔血流图<br /> 4.放射性核素<br /> 5.超声检查<br /> 6.腹腔镜检查<br /> <br /> <br /> ==治疗==<br /> 一般治疗<br /> 根据PCS病因,注意休息及体位调节,避免长期站立和睡眠仰卧位。适当的体育锻炼增进盆腔肌张力及改善盆腔血循环。对于子宫后位的患者,每日2一3次持续10min的膝胸卧位,以利于盆腔疼痛症状减轻或缓解。另外注意心理调节治疗。<br /> 药物疗法<br /> 对症治疗：1.淤血以活血化淤、改善盆腔血液循环为目的。可采用复方丹参注射液12ml,配合葡萄糖液静滴,每日一次,10-14 天为一疗程。也可用中药少腹腔淤汤治疗。2.其他症状植物神经调节药、镇静药或肌肉营养药的试用,如谷维素、维生素E、氢澳酸、加兰他敏、新斯的明、地西绊(安定)等,对于减轻各种慢性疼痛,改善睡眠有一定效果。双氢麦角胺静脉注射可以有效地收缩卵巢静脉,在数小时内明显缓解患者疼痛。<br /> 手术治疗</div>

超级小松松