一、与月经有关的腹痛 (一)痛经:经期前后或经期间发生下腹痛及腰骶部痛或伴有头痛、偏头痛、呕吐、情绪不安及全身不适,严重影响工作及生活者。 1.原因:(1)原发性痛经:月经初潮后即有痛经,而盆腔未发现明显病变,多见于未婚、未孕妇女。其发病原因:①精神因素。②子宫过度收缩。③过敏因素。(2)继发性痛经:初潮后一段时间无痛经,常继发于盆 First, the menstrual-related abdominal pain (A) Dysmenorrhea: menstrual period or during menstruation under the lower abdominal and lumbosacral pain or accompanied by headache, migraine, vomiting, mood disorders and general malaise, seriously affecting work and life. 1. Reasons: (1) primary dysmenorrhea: dysmenorrhea after menarche, but no significant pelvic lesions, more common in unmarried, not pregnant women. The causes of the disease: ① mental factors. ② excessive contraction of the uterus. ③ allergic factors. (2) secondary dysmenorrhea: some time after menarche without dysmenorrhea, often secondary to the basin