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答:妇女月经量过多,时间延长,不规则,其病因很多,如内科的血液病、高血压、肝肾功能障碍、肾上腺皮质病变、甲状腺疾患及新陈代谢障碍等均可引起.所以在诊断为“功能失调性子宫出血”前,必须排除这些内科疾患.同时,还要与妇产科的流产、宫外孕、葡萄胎、绒癌进行鉴别.内诊查不到有何器质性病变,不等于无病变,必须作全面细致的检查,才能确诊.一、排除内科疾患:几血常规、血小板、出凝血时间、凝血酶元、纤维蛋白元正常者,可排除血液病;红细胞正常,可以排除贫血;血压正常,可以排除高血压;肝功能、肾功能正常,可排除肝肾疾患;基础代谢检查正常,可排除甲状腺
A: There are many causes of menstrual flow in women, such as excessive menstrual flow, prolonged time and irregularities, such as medical blood diseases, high blood pressure, liver and kidney dysfunction, adrenal cortex diseases, thyroid diseases and metabolic disorders, etc. Therefore, “Dysfunctional uterine bleeding,” must be ruled out these medical conditions. At the same time, but also with the obstetrics and gynecology abortion, ectopic pregnancy, hydatidiform mole, choriocarcinoma to identify. Internal examination can not find any organic lesions, does not mean No disease, must be comprehensive and meticulous examination, to be diagnosed .A exclusion of medical conditions: a few blood, platelets, a clotting time, thrombin, fibrin normal, can rule out blood diseases; normal red blood cells, anemia can be ruled out ; Normal blood pressure, can rule out high blood pressure; liver function, normal renal function, can rule out liver and kidney disease; normal basal metabolism can rule out the thyroid