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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >A Rare Cause of Hypovolemic Shock in Prepubertal Girl: Vaginal Leech Infestation
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A Rare Cause of Hypovolemic Shock in Prepubertal Girl: Vaginal Leech Infestation

机译：预接种女孩的罕见抗病性休克的原因：阴道妖精侵扰

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Vaginal bleeding in girls is an alarming symptom for both parents and pediatricians. Serious underlying causes should be always evoked. Case Report. We describe here a 9-year-old girl who was admitted at our emergency department for vaginal bleeding and severe anemia. No history of trauma and no evidence of prior abuse were reported by the parents. Full Blood Count showed profound anemia (hemoglobin at 4 g/dl). The child was managed as a hypovolemic shock and resuscitated with intravenous fluids and urgent blood transfusion. Gynecologic examination found a live leech at the vulva and the extraction was facilitated by applying a saline solution. The child was clinically stable and discharged home the next day with ambulatory treatment. Conclusion. This case emphasizes that a through external genital exam with possible exam under anesthesia should be undertaken in all girls with unexplained vaginal bleeding and that in those living in rural areas without potable water, leech infection should be considered.
机译：女孩的阴道出血是父母和儿科医生的令人惊叹的症状。应始终唤起严重的潜在原因。案例报告。我们在这里描述了一名9岁的女孩，在我们的急诊部门接受了阴道出血和严重贫血。父母没有报告创伤的历史，没有事先滥用的证据。全血统计显示深厚的贫血（血红蛋白为4g / dl）。孩子被管理为缓冲休克，并随着静脉内液体复苏和紧急输血。妇科检查发现了外阴的活水蛭，通过施用盐水溶液，促进提取。第二天，孩子们在临床上稳定并排出了家庭，并进行了动态治疗。结论。这种情况强调，在任何未解释的阴道出血的所有女孩都会在麻醉下进行外部生殖器考试，并在没有饮用水的情况下生活在农村地区的人中，应考虑Leech感染。

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