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沉××,女,45/(12)岁。其母代诉,患儿足月顺产,生下后发育正常,1岁半左右即有月经来潮,每年3～4次,量少,几滴至数毫升不等,色暗红,随后乳房发育。3岁后每月或隔月来经一次,量多,似成人量,每次来潮3～4天。去年其父曾写信给林巧稚大夫,后首都医院妇产科回函,拟诊为性早熟,并嘱内服安宫黄体酮。现给每日1片(2毫克),若停药月余,月经又来潮。检查:患儿身高92.3厘米,体重16公斤,头围52厘米,胸围58厘米,心肺未闻病理性杂音,肝脾未触及,淋巴结未见明显肿大。第二性征明显,乳房发育丰满,
Shen × ×, female, 45 / (12) years old. The mother sued, full-term children with abortion, normal development after giving birth, about 1 year and a half that is menstrual cramps, 3 to 4 times a year, the amount of less, a few drops to a few milliliters of ranging, dark red, and then breast development . After 3 years of age every month or every other month to a time, the amount of more, it seems adult, each cramp 3 to 4 days. Last year, his father wrote a letter to Dr. Lin Qiao Chi, the Capital Hospital, obstetrics and gynecology letter, to be diagnosed as precocious puberty, and instruct the oral administration of medroxyprogesterone acetate. Now give daily 1 (2 mg), if the withdrawal of more than a month, menstruation again. Check: Children height 92.3 cm, weight 16 kg, head circumference 52 cm, bust 58 cm, heart and lungs were not heard of pathological murmur, liver and spleen not touched, no significant enlarged lymph nodes. Obvious secondary sexual characteristics, breast fullness,