在家庭中非性接触传染的儿童淋病

本文报告4例儿童淋病.这4名儿童来自合住在一起的两个家庭.其淋病的传染不是通过性交或生殖器接触,而是由于共用了床单、被褥等.例1. 7岁,女孩.因发现阴道分泌物24小时入院.患儿离家与一名18岁妇女共度周末,回来后两天出现阴道分泌物.无异物或性接触史,     

解脲支原体所致幼女外阴阴道炎3例报告

解脲支原体为成年人非淋菌性尿道或阴道、宫颈炎的常见病原体之一,但它引起幼女外阴阴道炎少见报道。现将诊治的3例解脲支原体性外阴阴道炎报告如下。临床资料　3例幼女,年龄最小者2岁6个月,最大5岁;病程5～10天。患儿均有不同程度的痛痒症状,表现为哭闹不止或拒绝排尿、用手搔抓。3例外阴阴道口均充血、肿胀并有淡黄色稀薄分泌物,有异味。患儿的母亲均在我科确诊患有解脲支原体性阴道宫颈　河北医科大学第四医院皮肤科,石家庄,050011炎,其中1例已治愈,有2例的父亲也患有非淋菌性尿道炎,正在治疗。3例患儿均为母亲监护,与母亲共用清洗外阴器…     

嫖宿幼女罪中“幼女”概念研究

嫖宿幼女罪作为近年来颇受争议的罪名,受到了众多学者的关注.通过对“幼女”概念的研究得出嫖宿幼女罪的幼女是指卖淫的幼女.从奸淫幼女与嫖宿幼女难以区别、不利于对幼女的严格保护、法定刑相对偏轻三个层面对嫖宿幼女罪取消论者进行驳斥,得出嫖宿幼女罪应予保留,不能简单的予以取消,应予尽力进行法律解释.     

女童外阴假性湿疣72例分析

目的：探讨幼女外阴乳头状增生症（PHP）的临床特征。方法：回顾性分析中山医科大学附属第一医院自1983年6月-1998年6月间72例幼女的外阴乳头状赘生物,分别进行妇科检查、阴道镜检查、病理学检查、HPV-Ag及PCR检查。结果：幼女乳头状增生症发生率1.08%,与成年人PHP的形态相同,区别于成年人的是其部位未见发生于处女膜内缘、阴道前庭等,病理特征为空泡样细胞及其移行性,HPV-Ag均为阴性。结论：幼女也患有成年妇女患的PHP并有其特征。     

外阴阴道炎的原因及处理

引起女童外阴阴道炎的原因很多。幼女阴道的粘膜薄而萎缩易发生感染,其阴道口尚未很好地受到阴唇保护,且与肛门临近,加上年幼儿童缺乏良好的卫生习惯使其更易于感染。蛲虫、便秘、粪漏及肠胃气,阴道分泌物等也可引起刺激及感染。目前,对儿童性虐待引起的外阴阴道炎的关注正在增加。作者对皇家利物浦儿童医院急诊就诊的主诉有阴遭分泌物和(或)生殖器刺激感、疼痛从出生到16岁的200名女童进行了前瞻性调查。结果发现就诊时的首发症状为瘙痒者81例,疼痛108例,出血37例,分泌物104例,102例有排尿困难,有或无尿频。体检结果:外阴部充     

100例幼女阴道炎病原微生物学分析

幼女阴道炎临床较少见,但近年来随着性病患者的不断增多,本病发病也有急剧增多的趋势,因幼女阴道炎有其临床特点,其病原微生物也与成人不完全相同,为探索幼女阴道炎病原微生物的分布特点,随机将1997年11月至2001年6月在我院皮肤门诊就诊的100例幼女阴道炎患者做了病原微生物学检测,现将结果分析报道如下。     

真菌性及蛲虫性幼女外阴炎1例

3岁幼女因阴部瘙痒、分泌物多1月余来诊。穿死裆裤宿住幼儿园。皮肤科情况:大小阴唇间少许白色豆渣样分泌物,阴道口粘膜紫红色,分泌物呈白色透明,粘稠无气味。阴唇间分泌物真菌镜检阳性,阴道分泌物真菌镜检阴性,革兰阴性双球菌阴性,支原体(Uu)阴性。初诊为真菌性外阴炎。抗真菌药外用后,阴唇间分泌物消失,但夜间瘙痒更明显。嘱其母夜间在肛周取材,结果获白线状蛲虫。最后诊断:真菌性及蛲虫性幼女外阴炎。口服史克肠虫清而愈,随访2月无复发真菌性及蛲虫性幼女外阴炎1例@祖而立$吉林市中心医院!132011@张亚男$吉林市中心医院!132011@张赫男$…     

幼女沙眼衣原体外阴阴道炎5例

1994年1月～1995年5月,我站门诊收治幼女沙眼衣原体外阴阴道炎5例,现报告如下。例1,8个月。该患儿自然分娩后第2天即见有阴道分泌物,反复发作8个月。患儿父亲在其母怀孕期间有不洁性交史。例2,10岁。反复出现阴道分泌物1年半来诊。曾在外院肌注淋必治等(具体不详)。其家出租客房,与外来人员共用浴盆、卧便具。例3,9岁。病史与例2类同。该患儿病前1周曾在公共泳池游泳。例4,11个月,出现阴道分泌物10天来诊。例5,6岁。出现阴道分泌物1周来诊。5例患儿皮肤科检查均见外阴有不同程度的红肿,有白色稀薄或黄色脓性粘稠分泌物。取分泌物涂片见脓细…     

粘膜疾病

983439 幼女阴道分泌物中查到肺炎链球菌/巩国亭（山东蒙阴县医院）…//上海医学检验杂志.-1998,13（2）.-125 5岁,因外阴瘙痒,有脓性分泌物5天,用复方新诺明治疗无效就诊。查见外阴部红肿,有少量粘液脓性分泌物。涂片查霉菌、滴虫、淋球菌均阴性,但在革兰染色找淋球菌的片子上见到革兰阳性球菌,矛头状,多数成双排列,经细菌培养,分离鉴定证实为肺炎链球菌。用氧哌青霉素治疗5天痊愈。（王建琴）983440 替硝唑2g顿服治疗细菌性阴道病/樊尚荣（北京医大一院妇产科）…//中华妇产科杂志.-1998,33（6）.-372     

幼女葡萄球菌性阴道炎误诊为淋病1例

幼女葡萄球菌性阴道炎误诊为淋病１例黄忠禧广西防城港市防城区卫生防疫站皮肤性病专科门诊（邮政编码５３８０２１）患儿女，６岁。阴道分泌物伴外阴瘙痒反复发作１年余。１年前其外阴大量脓性分泌物，在某医院诊为“淋病”给青霉素、氟哌酸等治疗好转。２周后复发，分泌...     

宫腔镜诊治女童阴道异物2例报道

女童阴道异物可出现不同程度的阴道流血、分泌物增多等症状,严重者可影响生殖器官的发育。本文报道了2例女童阴道异物经用宫腔镜诊断及治疗,取得良好效果。     

Acute genital ulcers in nonsexually active young girls: case series, review of the literature, and evaluation and management recommendations

Acute genital ulcers rarely occur in nonsexually active young girls. When present, they can cause significant physical and emotional distress for the patient and her parents, and prompt an evaluation for sexual abuse and sexually transmitted diseases. With this review, we aim to further characterize acute genital ulcers in nonsexually active young girls by reviewing the medical records of patients with this disorder and to offer an approach to the diagnosis, evaluation, and treatment of acute genital ulcers based on our understanding and knowledge of this condition. We retrospectively review our understanding and knowledge of acute genital ulcers in nonsexually active girls at a pediatric hospital. A review of the recent literature on acute genital ulcers and a multidisciplinary approach to the diagnosis, evaluation, and treatment of acute genital ulcers are also presented. Twelve patients presented with acute genital ulcers, 11 of which were hospitalized for evaluation and pain management. Extensive work-up failed to reveal a specific infectious or autoimmune etiology in all but one patient, who was diagnosed with acute mycoplasma pneumonia. Acute genital ulcers in nonsexually active young girls likely represent a form of idiopathic vulvar aphthosis. Evaluation of a first episode of acute genital ulcers with mild prodromal symptoms should be limited. Treatment consists primarily of supportive care and symptom relief.     

Supporting young women with menstrual pain – Experiences of midwives working at youth clinics

BackgroundMenstrual pain is relatively common among young girls. Many girls turn to youth clinics when seeking care for menstrual problems.ObjectiveThe objective of the study was to describe midwives’ experiences of supporting girls with menstrual pain.MethodsThis is a qualitative study with an inductive approach. Semi-structured interviews were conducted with 15 midwives working at Swedish youth clinics. Interviews were held in September 2021. The recordings were transcribed and analyzed using thematic analysis.ResultsTwo main themes, consisting of three subthemes each, emerged: Guiding and educating young women about menstrual pain and Striving toward pain relief. It was important to the midwives to increase young women’s knowledge of menstrual pain and coping strategies, and to guide them in finding a method for menstrual pain relief. Hormonal contraceptives were often a natural choice and an effective method for pain relief, although the midwives occasionally faced resistance from young women or their mothers when recommending this. The midwives also referred to a gynecologist if needed.ConclusionThe results highlight that midwives working at youth clinics have an important role in the care of young women with menstrual pain. The midwives found it important to increase young women’s knowledge about menstrual pain and coping strategies, since they had noticed knowledge gaps in these areas. The results suggest a need to improve education about menstrual pain and coping strategies for young women, preferably in school and in cooperation with healthcare professionals.     

小剂量卡前列甲酯用于无痛负压吸引术前预处理的观察

目的：探讨无痛负压吸引术前阴道放置卡前列甲酯扩张软化宫颈适宜的给药时间.方法：采用前瞻性对比研究,将300例自愿要求行负压吸引术的妇女随机分为A、B、C三组,A组卡前列甲酯0.5mg术前1h放入阴道后穹隆,B组术前2h放入阴道后穹隆,C组为对照组不采用任何药物行负压吸引术.观察并比较各组在负压吸引术中宫颈松弛程度、手术时间、术中出血量、手术效果、副反应等参数.结果：A组、B组较C组在宫颈松弛程度方面具有极显著性差异（P〈0.01）.手术中出血量A、B、C三组比较差异无显著性（P〉0.05）.手术时间和手术效果方面A组、B组与C组比较差异有显著性（P〈0.05）.结论：无痛负压吸引术前阴道放置卡前列甲酯0.5mg可以有效地扩张软化宫颈、缩短手术时间、减少受术者痛苦;术前阴道上药时间1h和2h同样有效.     

乳酸菌阴道胶囊联合达克宁栓治疗妊娠期外阴阴道假丝酵母菌病的疗效对照研究

目的：探讨乳酸菌阴道胶囊联合达克宁栓治疗妊娠期外阴阴道假丝酵母菌病的疗效.方法：选择68例妊娠期外阴阴道假丝酵母菌病患者,随机分为联合组和对照组.两组患者均予以达克宁栓放入阴道置于阴道后穹隆处,每晚1枚,连用3d.联合组加用乳酸菌阴道胶囊放入阴道置于阴道后穹隆处,早上2枚,连用5d.对照组除不使用乳酸菌阴道胶囊外余治疗均同联合组.观察两组患者治疗结束后1周的临床疗效,并随访治疗后3个月的复发率.结果：联合组患者治疗后的临床总有效率明显高于对照组（χ2=6.93,P〈0.01）.对照组与联合组治疗后3个月内分别复发13例和4例.联合组患者治疗后3个月内复发率明显低于对照组（χ2=6.35,P〈0.05）.结论：乳酸菌阴道胶囊联合达克宁栓治疗妊娠期外阴阴道假丝酵母菌病较确切,能明显降低复发率,具有治疗和预防外阴阴道假丝酵母菌病复发的作用.     

Chlamydia-trachomatis-Infektionen bei Teenagern

Adolescents enter puberty early and many have sexual intercourse at a young age. That sexual intercourse can have side effects with life-long consequences is still a taboo field. In Germany, we do not have figures about the prevalence of the most frequently occurring sexually transmitted diseases in young people. Therefore the Medical Association for the Promotion of Women's Health (AGGF) initiated a prevalence study on infection with Chlamydia trachomatis (CT) in girls younger than 18 years in Berlin (n=266). After informed consent, information was given in 92 school classes. Thereafter in 30 offices of gynecologists the girls were offered a PCR test for the detection of CT free of charge. The results--10% of the 17-year-old girls had an acute chlamydial infection after an average of 19 months of sexual activity--suggest that in Germany there is a hidden epidemic among adolescents. Adolescents are not adequately informed about the risks of CT infection; medical counseling is both desired and effective.     

活跃早期人工破膜对分娩的影响

目的:探讨活跃早期人工破膜对分娩的临床效果。方法:40例在活跃早期(宫口开大3cm)行人工破膜者作为观察组,另40例作为对照组在进入活跃期不采取医疗干预措施,等待自然破膜。结果:观察组的羊水性状、活跃期所需时间、分娩方式、新生儿评分均优于对照组。结论:具有阴道分娩条件在活跃早期人工破膜可降低分娩期母婴并发症。     

Pachydermodactyly in Two Young Girls

Abstract: Pachydermodactyly is a benign, superficial fibromatosis frequently observed in young males. We describe the condition in two young girls affected by Ehlers-Danlos syndrome (EDS) and tuberous sclerosis, respectively. We hypothesized that in the patient with tuberous sclerosis, pachydermodactyly is a clinical manifestation of the associated systemic disease, whereas obsessive-compulsive behavior is probably the main cause in the girl with EDS.     

FABRY''S DISEASE IN CHILDREN

Summary— The symptoms of angiokeratoma corporis diffusum of Anderson-Fabry in 5 boys and 3 girls in one family and 4 young adult females in another family are described. The age of onset of symptoms and signs varies considerably. The importance of establishing the diagnosis in childhood is discussed.