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患者.29岁.医务人员。因间断性下腹痛、脓性白带1年余,于1986年5月2日就诊.既往月经正常。妇科检查:外阴阴道无异常,宫颈肥大呈颗粒状重度糜烂,脓性白带量多;宫体与附件无异常。治疗:妇炎灵2丸置于阴道.每天1次,7d一个疗程.用药第2天,外阴刺痒;第4天外阴阴道烧灼样疼痛,下腹堕痛加重并阴道流血如月经量而停止治疗。妇科检查:外阴小阴唇轻度水肿,阴道粘膜潮红,宫颈糜烂而增宽并活动性出血.宫体无压痛,双附件增厚出现压痛.停药.3d后不适症状自行消失,但阴道流血经治疗后才停止。3个月后.病人要求再试用一次妇炎灵.用药后第2天又出现上述症状。两次用药后,出现同样反应.故基本可确立为药物所致,但其机制有待进一步研究。
Patient .29 years old. Medical staff. Due to intermittent lower abdominal pain, purulent leucorrhea more than 1 years, on May 2, 1986. Previous menstrual normal. Gynecological examination: no abnormal vulva and vagina, cervical hypertrophy was severe erosion of granular, purulent leucorrhea; Palace and annex no exception. Treatment: Fu Yan 2 pills placed in the vagina .1 day, 7d a course of treatment .2 days of treatment, genital itching; the first 4 days of vulvar vaginal burning pain, abdominal pain and aggravating vaginal bleeding such as menstrual flow and stop treatment. Gynecological examination: mild genital labia majora edema, vaginal mucosal flushing, cervical erosion and broaden activity and bleeding. Palace no tenderness, double attachment thickening tenderness. Withdrawal .3d symptoms disappear on their own, but vaginal bleeding After treatment stopped. 3 months later, the patient asked to try Fu Yan Ling again after the first 2 days of the above symptoms. After two doses, the same reaction occurs, so it can basically be established as a drug, but the mechanism remains to be further studied.