处女膜闭锁早有文献报道,但后天性处女膜闭锁却甚为罕见。作者遇到一例在第三次月经来潮才出现经血潴留,现报告如下。患者蓝××,女,十四岁六个月,学生,1980年12月18日入院。入院前两日,患者感觉下腹部坠胀痛,进行性加剧,放射至会阴部;伴尿潴留。曾在当地卫生所就诊,经抗炎和两次导尿治疗,病情无好转,转入我院。既往健康,已有两次月经来潮。1980年8月5日初潮,同年9月9～12日第二次来潮,经期3～4天,每次经血量约100毫升,行经时腹痛。体检:体温37.2℃,呼吸18次/分。发育正常,营养中等。心率80次/分,心律齐,各瓣膜区未闻及病理性杂音。肺部无异常。腹部软,膀胱充盈。下腹正中深压痛,未触及包块,肠鸣音正常。妇检:处女型外阴,处女膜紧张膨出,无裂孔,中央区有约0.5×0.3厘米疤痕,膜后呈现紫蓝色阴 Hymen atresia has long been reported in the literature, but posterior hymen atresia are rare. The author encountered an example menstrual cramps appeared in the third menstrual cramps, are as follows. Patient blue × ×, female, fourteen years old six months, student, December 18, 1980 admission. Two days before admission, the patient feels falling pain in the abdomen, progressive exacerbations, radiation to the perineum; with urinary retention. In the local health clinic, after anti-inflammatory and catheterization twice, the condition did not improve, transferred to our hospital. Past health, menstrual flow has been twice. August 5, 1980 the menarche, the same year in September 9 to 12 second cramps, menstrual 3 to 4 days, each menstrual flow of about 100 ml, abdominal pain when passing. Physical examination: body temperature 37.2 ℃, breathing 18 beats / min. Normal development, nutrition is medium. Heart rate 80 beats / min, heart rate Qi, the valve area is not known and pathological murmur. No abnormality in the lungs. Abdomen soft, bladder filling. Lower abdominal pain in the middle of deep, did not touch the mass, bowel sounds normal. Maternal seizure: virgin genital, hymen tension bulging, no holes, the central area of ​​about 0.5 × 0.3 cm scar, the film showed a purple-blue shade