月经期急性异常子宫出血的诊断与处理

IF 2.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Clinics Pub Date : 2025-01-01 DOI:10.1016/j.clinsp.2025.100608

Gabriela Pravatta-Rezende , Cristina Laguna Benetti-Pinto , Daniela Angerame Yela Gomes , Ana Carolina Japur de Sá Rosa e Silva , José Maria Soares Junior

{"title":"月经期急性异常子宫出血的诊断与处理","authors":"Gabriela Pravatta-Rezende , Cristina Laguna Benetti-Pinto , Daniela Angerame Yela Gomes , Ana Carolina Japur de Sá Rosa e Silva , José Maria Soares Junior","doi":"10.1016/j.clinsp.2025.100608","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To provide a protocol for the diagnosis and management of Acute Abnormal Uterine Bleeding (AUB) during menacme, addressing common causes, clinical evaluation, and treatment options.</div></div><div><h3>Methods</h3><div>A review of current evidence and guidelines was performed to create a structured approach for healthcare professionals.</div></div><div><h3>Results</h3><div>Acute AUB, defined as excessive uterine bleeding unrelated to pregnancy, requires immediate intervention. Causes vary by age and include coagulopathies, anovulation, and structural anomalies. Clinical stability, lab workups, and imaging are pivotal in guiding management. Initial treatment focuses on hemodynamic stabilization followed by medical therapies such as antifibrinolytics, hormonal agents, or surgical intervention when necessary.</div></div><div><h3>Conclusion</h3><div>Early intervention in AUB ensures optimal outcomes, reduces complications, and allows transition to maintenance therapy to prevent recurrence.</div></div>","PeriodicalId":10472,"journal":{"name":"Clinics","volume":"80 ","pages":"Article 100608"},"PeriodicalIF":2.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnosis and management of acute abnormal uterine bleeding during menacme\",\"authors\":\"Gabriela Pravatta-Rezende , Cristina Laguna Benetti-Pinto , Daniela Angerame Yela Gomes , Ana Carolina Japur de Sá Rosa e Silva , José Maria Soares Junior\",\"doi\":\"10.1016/j.clinsp.2025.100608\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To provide a protocol for the diagnosis and management of Acute Abnormal Uterine Bleeding (AUB) during menacme, addressing common causes, clinical evaluation, and treatment options.</div></div><div><h3>Methods</h3><div>A review of current evidence and guidelines was performed to create a structured approach for healthcare professionals.</div></div><div><h3>Results</h3><div>Acute AUB, defined as excessive uterine bleeding unrelated to pregnancy, requires immediate intervention. Causes vary by age and include coagulopathies, anovulation, and structural anomalies. Clinical stability, lab workups, and imaging are pivotal in guiding management. Initial treatment focuses on hemodynamic stabilization followed by medical therapies such as antifibrinolytics, hormonal agents, or surgical intervention when necessary.</div></div><div><h3>Conclusion</h3><div>Early intervention in AUB ensures optimal outcomes, reduces complications, and allows transition to maintenance therapy to prevent recurrence.</div></div>\",\"PeriodicalId\":10472,\"journal\":{\"name\":\"Clinics\",\"volume\":\"80 \",\"pages\":\"Article 100608\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1807593225000341\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1807593225000341","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

摘要

目的探讨经期急性异常子宫出血（AUB）的常见原因、临床评价及治疗方案。方法回顾现有的证据和指南，为医疗保健专业人员创建一个结构化的方法。结果急性AUB定义为与妊娠无关的子宫大量出血，需要立即干预。病因因年龄而异，包括凝血功能障碍、不排卵和结构异常。临床稳定性、实验室检查和影像学检查是指导治疗的关键。最初的治疗重点是血流动力学稳定，随后进行药物治疗，如抗纤溶药物、激素药物或必要时的手术干预。结论早期干预可确保AUB的最佳预后，减少并发症，并可过渡到维持治疗以防止复发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Diagnosis and management of acute abnormal uterine bleeding during menacme

Objective

To provide a protocol for the diagnosis and management of Acute Abnormal Uterine Bleeding (AUB) during menacme, addressing common causes, clinical evaluation, and treatment options.

Methods

A review of current evidence and guidelines was performed to create a structured approach for healthcare professionals.

Results

Acute AUB, defined as excessive uterine bleeding unrelated to pregnancy, requires immediate intervention. Causes vary by age and include coagulopathies, anovulation, and structural anomalies. Clinical stability, lab workups, and imaging are pivotal in guiding management. Initial treatment focuses on hemodynamic stabilization followed by medical therapies such as antifibrinolytics, hormonal agents, or surgical intervention when necessary.

Conclusion

Early intervention in AUB ensures optimal outcomes, reduces complications, and allows transition to maintenance therapy to prevent recurrence.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Clinics 医学-医学：内科

CiteScore

4.10

自引率

3.70%

发文量

129

审稿时长

52 days

期刊介绍： CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in the medical sciences. CLINICS complies with the policies of funding agencies which request or require deposition of the published articles that they fund into publicly available databases. CLINICS supports the position of the International Committee of Medical Journal Editors (ICMJE) on trial registration.