Abnormal Uterine Bleeding in Adolescence Burdened with Severe Anemia: Clinical Case

L. Adamyan, E. Sibirskaya, I. Karachentsova, L. Pivazyan, M.A. Loshkareva, Y. Kirillova, Sabina K. Murvatova, K. Murvatova
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Abstract

Background. Abnormal uterine bleeding (AUB) in adolescence is one of the urgent problems of medicine nowadays. It is on the 2nd place among all the reasons for hospitalization in gynecological departments, and its incidence among girls during puberty is 50%. Clinical case description. This is the clinical case of 15-year-old girl admitted to the gynecology department with complaints   on long-lasting bloody vaginal discharge, fatigue, dizziness. The diagnosis of «abnormal uterine bleeding in adolescence» burdened with iron deficiency anemia (IDA) was established according to laboratory and instrumental examinations. The patient underwent RBC-transfusion with specific buffy coat and was administered with hormonal hemostatic and anti-anemic therapy. Conclusion. We can conclude (with reference to this observation and the reviewed literature) not only that IDA is one of the most common complications of AUB in adolescence, but also what management should be used in such clinical cases.
青少年重度贫血并发子宫异常出血1例
背景。青春期子宫异常出血(AUB)是当今医学亟待解决的问题之一。它在妇科住院的所有原因中排名第二,在青春期女孩中的发病率为50%。临床病例描述。这是一名15岁的女孩,以长时间阴道带血分泌物,疲劳,头晕为主诉进入妇科的临床病例。诊断“青春期子宫异常出血”负担缺铁性贫血(IDA)是建立根据实验室和仪器检查。患者接受了带有特定灰白色外套的红细胞输血,并给予激素止血和抗贫血治疗。结论。我们可以得出结论(参考这一观察结果和文献综述),IDA不仅是青春期AUB最常见的并发症之一,而且在这种临床病例中应该采用什么管理方法。
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