论文部分内容阅读
最近,我接诊了一名年轻妇女。半年前她曾足月分娩了一个七斤半的男孩,全家都非常高兴,以后用母乳哺育婴儿。大约从两个多月前开始,她经常晨起恶心、不想吃东西,人也逐渐消瘦,奶水越来越少,现成已经几乎没有了。最近,她还发现下腹部似乎长了肿块,并在不断增大。她请我看看是不是长瘤子了,因为已经吃了不少中西药都没有明显的效果。我照例给她进行了妇科检查,断定所谓的肿块实际是一个已经妊娠3个多月的子宫,而且B超证实了这个诊断。“有孩子吃奶,我还没来过月经,怎么能又怀孕呢?”她惊奇地说,“自己从来没想到过有这种可能,所以根本没采取过避孕措施。”产后哺乳期间,虽然在催乳激素旺盛的情况下,
Recently, I interviewed a young woman. Six months ago, she gave full-term delivery of a seven-and-a-half kilogram of the boy, the whole family are very happy, after breastfeeding her baby. About two months ago, she often began nausea morning, do not want to eat, people are gradually thinner, less and less milk, ready to almost gone. Recently, she also found that the lower abdomen seemed to have lumps and was growing. She asked me to see if it is a long tumor because it has eaten a lot of Chinese and Western medicine and has no obvious effect. As usual, I conducted a gynecological examination for her, concluding that the so-called lump was actually a uterus that had been pregnant for more than three months and that B-ultrasound confirmed this diagnosis. “How can I get pregnant again if I have not had menstruation before?” “She said in surprise.” I never thought of this possibility, so I did not take contraception. " During lactation, although in the case of prolactin exuberant,