原创 黄体破裂是什么原由引起的？
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">黄体破裂是什么<span style="color: black;">原由</span><span style="color: black;">导致</span>的</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">正常<span style="color: black;">状况</span>下，黄<span style="color: black;">身体</span>有少量<span style="color: black;">流血</span>，但<span style="color: black;">倘若</span><span style="color: black;">流血</span>太多，就可能<span style="color: black;">增多</span>黄<span style="color: black;">身体</span>的压力，从而<span style="color: black;">出现</span>自发性破裂。<span style="color: black;">尤其</span>是平时凝血功能<span style="color: black;">阻碍</span>者，更易加重黄<span style="color: black;">身体</span>毛细血管<span style="color: black;">流血</span>，不止使黄<span style="color: black;">身体</span>腔压力<span style="color: black;">持续</span><span style="color: black;">上升</span>，当超过<span style="color: black;">必定</span>限度时就会<span style="color: black;">出现</span>意外。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当下腹受到撞击，以及剧烈跳跃、奔跑、用力咳嗽或解大便时，腹腔内压力<span style="color: black;">忽然</span><span style="color: black;">上升</span>，可<span style="color: black;">促进</span>成熟的黄体<span style="color: black;">出现</span>破裂。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">黄体破裂时有什么表现</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">腹痛程度上<span style="color: black;">亦</span>有很大差别，有的可能仅有<span style="color: black;">忽然</span>的但很轻微的<span style="color: black;">一边</span>下腹<span style="color: black;">病痛</span>，破裂黄<span style="color: black;">身体</span>的毛细血管<span style="color: black;">自动</span>愈合，流出的少量血液<span style="color: black;">亦</span><span style="color: black;">自动</span>吸收，不留任何<span style="color: black;">副作用</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有的则可能<span style="color: black;">出现</span>剧烈难忍的腹痛，为继发黄<span style="color: black;">身体</span>的血管破裂，血液流向腹腔，<span style="color: black;">导致</span><span style="color: black;">连续</span>性腹痛，严重者可<span style="color: black;">因此呢</span><span style="color: black;">出现</span><span style="color: black;">流血</span>性休克，表现为大汗淋漓、头昏头痛、血压下降、四肢冰冷等，如治疗不<span style="color: black;">即时</span>可危及生命。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">通常</span>在<span style="color: black;">大姨妈</span>后半期突发下腹部<span style="color: black;">病痛</span>，下腹部压痛、反跳痛，妇检后穹隆触痛，宫颈摇举痛，<span style="color: black;">一边</span>附件区包块拌压痛，<span style="color: black;">彩超</span>可<span style="color: black;">发掘</span>盆腔积液及附件区包块，后穹隆穿刺抽出不凝血。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除了腹痛之外，卵巢黄体破裂绝大<span style="color: black;">都数</span><span style="color: black;">出现</span>于<span style="color: black;">大姨妈</span>周期后半，<span style="color: black;">通常</span><span style="color: black;">无</span><span style="color: black;">大姨妈</span>逾期、阴道<span style="color: black;">流血</span>的症状。内<span style="color: black;">流血</span>诊断之<span style="color: black;">重点</span><span style="color: black;">按照</span><span style="color: black;">也</span>依靠后穹窿或腹腔穿刺。妊娠<span style="color: black;">实验</span>则<span style="color: black;">通常</span>呈阴性反应。<span style="color: black;">因此呢</span>一例内<span style="color: black;">流血</span>急腹症妇科病人，如<span style="color: black;">无</span>闭经、<span style="color: black;">流血</span>之症状，且妊娠<span style="color: black;">实验</span>阴性，则应多<span style="color: black;">思虑</span>卵巢黄体破裂之可能。腹腔镜<span style="color: black;">检测</span><span style="color: black;">能够</span>看到卵巢黄体和裂口，有时可见活性渗血，且双侧卵管正常。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">黄体破裂怎么诊断</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因为</span>其临床表现不具典型性，<span style="color: black;">重点</span>临床症状为<span style="color: black;">忽然</span><span style="color: black;">爆发</span>的腹痛，<span style="color: black;">病痛</span>程度不一，部分有不同程度的肛门坠胀感，严重时可<span style="color: black;">出现</span>大<span style="color: black;">流血</span>，<span style="color: black;">乃至</span>休克，危及生命，急需手术。发病急，<span style="color: black;">日前</span>尚<span style="color: black;">没</span>特殊<span style="color: black;">检测</span><span style="color: black;">办法</span><span style="color: black;">知道</span>诊断，误诊率高，易与异位妊娠、急性盆腔炎、急性阑尾炎、输尿管结石、卵巢肿瘤蒂扭转等急腹症相混淆。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、病人<span style="color: black;">没</span>停经史，发病<span style="color: black;">常常</span>在两次<span style="color: black;">大姨妈</span>期中间或<span style="color: black;">大姨妈</span>前期;性交后发病史。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、起病急骤，下腹<span style="color: black;">忽然</span>剧痛，<span style="color: black;">短期</span>后<span style="color: black;">作为</span><span style="color: black;">连续</span>性坠痛，可<span style="color: black;">逐步</span>减轻或又转剧。<span style="color: black;">少许</span>病人可有恶心、呕吐。<span style="color: black;">通常</span><span style="color: black;">没</span>阴道流血(外<span style="color: black;">流血</span>)，内<span style="color: black;">流血</span>严重者可有休克及直肠刺激症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、腹部<span style="color: black;">检测</span>：有<span style="color: black;">显著</span>压痛、反跳痛。内<span style="color: black;">流血</span>多者，叩诊有移动性浊音。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、阴道<span style="color: black;">检测</span>：子宫正常<span style="color: black;">体积</span>，后穹窿触痛，附件可触及境界不清的软包块，有压痛。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5、白细胞计数及<span style="color: black;">归类</span>，中性百分率均<span style="color: black;">升高</span>，红细胞及血色素下降。</p>
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