Recurrent hemoperitoneum in women receiving continuous ambulatory peritoneal dialysis.
Recurrent hemoperitoneum in women receiving continuous ambulatory peritoneal dialysis.
复制标题
接受连续不卧床腹膜透析的女性复发性腹腔积血。
DOI：
10.7326/0003-4819-107-2-341
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发表时间：
1987
影响因子：
39.2
通讯作者：
H. Gault
中科院分区：
文献类型：
--
作者：
J. Harnett;D. Gill;L. Corbett;P. Parfrey;H. Gault
27名育龄妇女接受连续不卧床腹膜透析3个月以上，其中7名经期妇女中有4人出现复发性腹腔积血。这 4 名妇女中，有 3 名接受了输卵管结扎术。腹腔积血37次； 22 例发生在月经中期，15 例发生在月经期间。一名患者需要重复输血，但口服无排卵治疗后没有再发生出血，无需输血。两名患者需要进行剖腹手术：一名患者因黄体囊肿引起腹腔内大量出血，另一名患者因滤泡和黄体囊肿引起严重下腹疼痛。超声检查表明其余两名患者存在小卵巢囊肿。连续不卧床腹膜透析女性的复发性中期腹膜积血可能是由排卵和相关卵巢囊肿形成引发的。应考虑抑制排卵。
Of 27 women in the reproductive age group receiving continuous ambulatory peritoneal dialysis for more than 3 months, 4 of 7 who menstruated developed recurrent hemoperitoneum. Tubal ligation had been done in 3 of these 4 women. There were 37 episodes of hemoperitoneum; 22 occurred at midcycle and 15 with menstruation. One patient required repeated blood transfusion, but after oral anovulant therapy no further bleeding occurred and no transfusion was required. Two patients needed laparotomy: one for heavy intraperitoneal bleeding originating from a luteal cyst, and the other for severe lower abdominal pain from follicular and luteal cysts. Ultrasound examinations suggested the presence of small ovarian cysts in the two remaining patients. Recurrent midcycle hemoperitoneum in women on continuous ambulatory peritoneal dialysis may be triggered by ovulation and associated ovarian cyst formation. Suppression of ovulation should be considered.