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外阴血肿是妇科常见急诊,临床症状为阴部肿疼,排尿困难,甚至休克。一般均用扩创止血或自然吸收方法,本文介绍一种安全快速治疗方法,成为我科对该症的常规首选治疗。典型病例介绍例1.26岁,因骑车颠撞阴部后流血,昏厥片刻,阴部肿疼难忍,排尿困难.妇检:左大阴唇血肿8×5×5cm,表皮青紫伴浅表损伤,血肿遮盖阴道前庭。处理:透明质酸酶1500U+2%普鲁卡因5ml血肿腔内注入,外加棉垫按揉2~3分钟,血肿即软化消散,疼痛立刻缓解,外加丁字带压迫,2日痊愈出院。例2.27岁,产后出院。当日应用开塞露灌肠排便,排便屏气时阴部出血,剧痛,肿胀。妇检:会阴侧切处愈合,阴唇皮肤未见瘀斑,左大阴唇血肿遮盖
Vulvar hematoma is a common gynecological emergency, clinical symptoms of genital swelling, dysuria, and even shock. Generally use expansion or hemostasis or natural absorption methods, this article describes a safe and rapid treatment, our department has become the conventional preferred treatment of the disease. A typical case description 1.26 years old, due to cycling after the collision of the genitals bleeding, fainting moment, genital swelling unbearable, difficulty urinating .Summary: Left labia hematoma 8 × 5 × 5cm, epidermal purple with superficial injury, hematoma cover Vaginal vestibule. Treatment: Hyaluronidase 1500U + 2% procaine 5ml hematoma cavity injection, plus pad rubbing 2 to 3 minutes, the hematoma that soften dissipated, the pain immediately ease, plus T-strap oppression, 2 days discharged. Example 2.27 years old, discharged after delivery. On the day the application of open Cypriot dew enema defecation, defecate breath when the genitals bleeding, severe pain, swelling. Gynecological examination: healing of the perineal side of the cut, no petechiae labia majora skin, left labia majora hematoma cover