女孩外阴红赤可能会是什么病

女孩外阴红赤可能会是什么病 女孩外阴红赤可能会是什么病, 其特征为:患儿外阴红赤，阴道可有少量黄白色分泌物，感觉局部瘙痒。 女孩出现此症状，大都患有阴道炎。该病是由于细菌或寄生虫(蛲虫、滴虫)感染。外阴、阴道粘膜产生炎性病变所致，局部积垢或阴道异物可为发病诱因。急性期可并发原发性腹膜炎。预防应尽量让女孩不穿开裆裤，外阴部要经常保持清洁，避免污染。如细菌感染引起炎症，可使用抗菌药物，蛲虫、滴虫引起的使用抗寄生虫药物。局部可 用苦参、蛇床子、白鲜皮各,,克、黄柏,,克，水煎薰洗，或食醋二匙加入半盆温开水中，坐浴，每日,次。 女孩小阴唇粘合可能会是什么病, 其特征为:患儿两侧小阴唇在中线粘连成膜状。 出现上症状，可以是先天性的，也可因炎症刺激所致。多发生于,岁以下的婴儿。因其往往合并有阴道闭锁或发育不全，所以应及早施行手术切开。 不可忽视女孩的生殖系统护理 目前，家长一般不重视女孩在幼儿期的卫生保健问，造成她们的泌尿和生殖系统出现一些问题。 1、泌尿系统感染。女孩子的尿道和阴道离得很近，尿道比较短、直。外界污染容易造成细菌侵入尿道而发生感染。女孩不会自己处理大小便，加上穿开裆裤，外界污物易沾染，更容易诱发泌尿道细菌上行，造成尿道、膀胱炎 症，出现尿急、尿频、尿痛。 2、生殖器感染与损伤。女孩子阴道炎不多见，但外伤却比较多发，主要原因是在玩耍时不慎骑跨到硬物上，造成外阴撕裂，或者出于好奇、痛痒而抓挠，继发感染后出现阴道流液、腥臭、外阴红肿。 有些母亲也知道让女孩洗外阴部，但却让女儿用自己用过的盆、毛巾洗，结果把病传染给孩子。或者母女同睡、内衣裤同洗，造成女孩被传染上滴虫、淋病等。因此，在生活中必须注意对女孩的特殊护理，包括: 1、清洁外阴。在婴儿时期，每次便后应为她洗净并擦干，每晚应洗外阴。盆、布要专用，水要清洁，不要使用洗脸、擦身后的污水，要从前往后洗。 2、不要给女孩子穿开裆裤，孩子的内裤要常换常洗，洗时要与成人内衣分开，不要一同放入衣机中，以防污染。 3、避免女孩翻跃或跨坐在硬物上，以免外伤。 4、母亲患滴虫、淋病等泌尿生殖系统感染时，不要与孩子同床睡觉，更不要一起洗盆浴，以免传染。 5、为孩子擦大便时，应从前向后擦，不可反方向，防止大便污染尿道口与阴道口。 6、发现女孩外阴红肿、外伤、阴道流液，或有尿急、尿频、尿痛，或突然发生尿床时，应及时带孩子到妇科或泌尿科就诊。 双腿交叉摩擦外阴是疾病 有些女孩常常在上床后出现双腿并拢，或交叉摩擦，或是趴在床上摩擦外阴，还有些婴儿喜欢骑坐在大人腿上、椅角上摩擦外阴，同时伴面红、出大汗。当家长或幼儿园的老师发现后，常常认为这是一种坏毛病，其实不然，它是一种疾病，在医学上称为情感交叉擦腿综合症。 情感交叉擦腿综合症，是一种多见于小儿尤其是女孩的病症。患者发作时，眼神凝视，面红出汗，双下肢伸直and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 夹紧或交叉，双手握拳或抓握器物用劲，多伴有外阴充血，分泌物增多。发作时可因家长的制止而停止。目前对该病确切的原因还不清楚。经小儿妇科门诊的观察发现，患有情感交叉擦腿综合症的患儿均伴有不同程度的外阴阴道炎，也就是经常出现外阴红肿、外阴瘙痒，阴道有黄色分泌物等炎症表现，炎症重时双腿交叉摩擦现象则频繁发作。外阴阴道炎治愈后则双腿交叉摩擦外阴现象随之消失。因此认为外阴阴道炎可能是引起该病的一个重要因素。除此之外，有些专家认为这种病的发病尚与心理因素有关，有些孩子在孤独的时候，常作为一种发泄方式而出现交叉擦腿现象。 作为家长当发现孩子有情感交叉擦腿综合症症状时，千万不要把它当作不良习惯，仅仅采用训斥、制止等办法，而应尽快就医，及时治疗相关疾病;如果存在致病的心理因素，则应进行心理治疗。如治疗不及时，延续到上学时，往往会影响学习。 婴幼儿的外阴炎、阴道炎有什么症状，如何治疗? 婴幼儿的外阴炎、阴道炎常同时存在。患病后患儿会因外阴瘙痒疼痛而坐卧不安、哭闹不停，并不时搔抓外阴。检查可见:大、小阴唇，阴蒂及阴道前庭充血水肿，皮肤可有抓破，有脓样分泌物自阴道口流出。如果外阴炎治疗不及时，患儿的两侧小阴唇可相互粘连，掩盖阴道口、尿道口，而在粘连的上方或下方留有一小孔，尿液由此排出。如果阴道炎长期存在，还能造成患儿阴道粘连、阴道闭锁。治疗婴幼儿外阴炎、阴道炎首先要取分泌物查找病因，必要时做细菌培养加药敏试验。在保持外阴清洁干燥的同时，选用敏感的抗生素口服或将抗生素滴入阴道内。为增加阴道内酸度，还可以用0.5%,1%的乳酸溶液50毫升，经细的橡皮导尿管进行阴道冲洗。 婴幼儿外阴阴道炎临床分析 婴幼儿外阴阴道炎常见于5岁以下幼女，是婴幼儿最常见的妇科疾病,1,。因婴幼儿自述能力差，不能从患儿口中直接获得病史，必须依靠父母或监护人的注意和观察，且家长易忽视等因素，诊断有一定困难，常延误治疗。我院在未设小儿妇科门诊以前，经常由儿科转入妇科就诊。自去年7月设立小儿妇科门诊以后，患儿家属有了明确的诊疗方向，逐步得到重视，使病情得到及时的治疗，至今共收治婴幼儿外阴阴道炎患儿共46例，现分析如下。 1 临床 1.1 一般资料 本组,,例，年龄,月,,岁。其中6个月,,岁,,例，,,,岁,,例，,,,岁,,例。 1.2 临床表现 患儿有不明原因的哭闹、烦躁不安、搔抓外阴。可伴排尿不适，甚至排尿困难，阴道分泌物有臭味等。妇科检查可发现外阴、阴蒂、尿道口、阴道口黏膜充血水肿，阴道口无明显分泌物排出者有26例，伴有脓性或水样分泌物自尿道口流出者有20例，其中有 4例排尿时分道，检查有不等程度小阴唇粘连。 the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease ofvance with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in adnt of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal lishmefor related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the estabue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager resc manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the projectand special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) direct economiccasualties occurred in construction, such as accidents or accidents of the once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1)?fighting equipment. -fire extinguishers and fire- Guard monthly check?ion. ble for regularly inspecting, testing, at any time in good conditfighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsi-day management of the various fire fighting equipment fire-to-daythe strengthening?ad out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel re peningsex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from hapthe written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, (6) 2 1.3 实验室检查 ,,例患儿中，用细棉拭子取外阴阴道分泌物涂片常规检查，对阴道口有脓性分泌物者取分泌物涂片革兰染色检查加药敏。其中找到滴虫者,例，霉菌,例，线索细胞、氨试验阳性,例，淋病,例，另,,例清洁度?,?度，未查到病原菌。 1.4 治疗 (1) 对单纯性外阴阴道炎即清洁度?,?度者，保持外阴清洁、干燥、减少摩擦、避免刺激，予高锰酸钾液(浓度为,?,,,,)坐浴，每日,,,次，外涂抗生素软膏(如红霉素软膏等)。(2)滴虫性阴道炎者，用儿科橡皮导尿管轻插入阴道，用酸性溶液如1%乳酸或,.,,甲硝唑液灌洗，每日,次，共,,,天。年龄稍大者予甲硝唑片口服，每次,,,mg，每日3次，共,,,天。(3)真菌感染者，用,,,,,碳酸氢钠液阴道灌洗，达克宁软膏局部涂擦，年龄稍大者予口服伊曲康唑,,,mg，每日2次，一天疗程。(4)淋菌者，用敏感抗生素阴道灌洗，口服或肌注抗生素(头孢三嗪 125mg，单次肌注)。(5)对小阴唇粘连者，用两大拇指压大阴唇向两侧轻轻撑开黏膜，创面涂以石蜡油或抗生素可的松软膏，防止再度粘连。对于陈旧性或粘连严重者予手术分离。也可应用雌激素软膏(如倍美力软膏)外敷2,4周，粘连可自然分离,2,。(6)对于阴道异物者，可在肛诊推移或在鼻腔镜下取出异物。 ,.5 结果 治疗,,,天为一疗程，复查痊愈39例，,例症状好转，,例复发。予再次治疗及对其母亲卫生指导，,例中,例痊愈，,例后来发现是阴道异物，取出异物后痊愈。 2 讨论 ,.1 发病原因 (,)新生女婴刚出生时阴道为无菌状态，,,h后有乳酸杆菌的出现，生后2周内阴道分泌物呈酸性。此后随着母体来源的雌激素排泄殆尽，阴道pH值上升，分泌物呈中/碱性。乳酸杆菌不再为优势菌，往往对入侵细菌无自净能力，有利于病菌生长。(,)婴幼儿的外生殖器，无论在解剖上或生理上都有其特点—大阴唇未发育，皮下脂肪薄，阴道、尿道暴露在外面，外阴阴道上皮组织薄，达不到完全成熟，易被损伤和受外界各种病原体或化学物质的刺激。阴唇小而薄，对前庭的保护作用小，处女膜开口小，不利于引流。小阴唇由于损伤(摩擦或挠抓)和炎症，易致粘连。(,)阴道外口又邻近肛门、尿道，局部易潮湿受细菌感染。(,)有的幼儿出于好奇心或想解除外阴一些不适感，会将发卡、笔套、小玩具之类的东西插入阴道内，未能及时取出，长时间刺激或损伤阴道黏膜从而引起炎症(本组中就有1例)。(,)母亲体内存在的一些致病因素，如单纯性疱疹病毒、霉菌以及滴虫，都可在胎儿经过产道或日常生活密切接触过程中，传染给女婴。(,)近年来，随着性传播疾病(,,,)发病率的上升，家庭成员或幼儿园小朋友间的交叉感染(如多人合用便盆)，也可致婴幼儿外阴阴道炎发病率升高。特别是淋病，是我国幼女,,,中最常见的,3,。本组中的,例确诊者，其母亲先发现为淋球菌感染。 ,.2 治疗 由于婴幼儿自述能力差，一般常由母亲或监护人发现幼儿小便时哭闹或烦躁不安，或内裤上有黄色分泌物，或小儿经常挠抓外阴而就诊。一般发病初期主要表现以外阴炎为主，只要及时治疗，保持外阴清洁，外 om happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) allname, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents fr rson'sonsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) peease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person resp, decrn in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injuredo deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Divisioures te establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedanager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance thect Morderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Proj project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for theonse (1) If a major accident occurs, the project should set up emergency response teams, chaired by the and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency respents of the direct economicof a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accid once every quarter, inspections and tests?fighting equipment. -fire extinguishers and fire- Guard monthly check?n good condition. quipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time ifighting equipment, authorities should be staffed, e-day management of the various fire fighting equipment fire-to-gthening the day stren?onnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing pers 3 涂抗生素软膏疗效均好。若不及时治疗，则易上行感染至阴道，此时需联合阴道治疗，可用儿科橡皮导尿管轻插入阴道，用敏感抗生素阴道内灌洗，比口服、外涂抗生素彻底有效。且插入导尿管时可探知阴道内有无异物，对于细小的异物灌洗时可以将其冲出。对于外阴炎复发者，应该要找出原因，包括是否其母亲有相同的生殖道炎症，或清洗不正确，或有异物的存在。本组患儿中有1例，经治疗2个疗程也不见好转，后来其母亲回忆说曾发现患儿短裤上有墨汁痕迹，经肛查发现阴道异物(笔套)，经取出后，阴道抗生素灌洗一次痊愈。教会其母亲或监护人正确的清洗外阴的，避免损伤皮肤、黏膜。平时清洗外阴时，观察有无外阴充血、水肿，有无脓性分泌物自阴道口流出等炎症表现，若有可及时治疗，避免继发阴道炎或小阴唇粘连。对于排尿不畅、疼痛、尿路分道者，需要仔细检查，是否存在小阴唇粘连。若有粘连，特别是对排尿有影响者，可用手法分离，分离后涂上石蜡油或抗生素可的松软膏防再度粘连，对于陈旧性或手法分离困难者可予手术分离。尽量避免使用雌激素，以免引起乳房发育、外阴色素沉着、阴道出血等不良反应。 ,.3 预防 针对婴幼儿解剖、生理上的特点，采取必要的。培养良好的卫生习惯，勤洗澡、勤更衣。不穿开裆裤，减少阴部外露污染的机会。应使用吸水性强、透气性好的尿布，勤洗换保持卫生，大便后要清洗外阴，谨防粪便不能擦净而污染会阴部。盆与毛巾应专用，避免和母亲共同盆浴，洗涤用具分开。对孩子进行早期教育，防止异物插入阴道。母亲要积极治疗自身生殖系统传染性疾病，以免传染给孩子。废除幼儿园多人合用坐式便盆，玩具定时清洁、消毒。提高家长和老师的生殖保健知识水平，使他们能正确地教育和保护女孩。 【参考文献】 1 薛秀珍.幼少女妇科病235例临床分析.实用妇科与产科杂志,2003，5:,,,. 2 薛风霞.幼少女外阴疾病.实用妇产科杂志,2002，18:193-195. 3 漆洪波,卞海宏.幼少女性传播疾病.实用妇产科杂志,2002，18:198-199. 作者单位: 313100 浙江长兴，长兴县妇幼保健医院 婴幼儿的外阴炎、阴道炎有什么症状，如何治疗, 婴幼儿的外阴炎、阴道炎常同时存在。患病后患儿会因外阴瘙痒疼痛而坐卧不安、哭闹不停，并不时搔抓外阴。检查可见:大、小阴唇，阴蒂及阴道前庭充血水肿，皮肤可有抓破，有脓样分泌物自阴道口流出。如果外阴炎治疗不及时，患儿的两侧小阴唇可相互粘连，掩盖阴道口、尿道口，而在粘连的上方或下方留有一小孔，尿液由此排出。如果阴道炎长期存在，还能造成患儿阴道粘连、阴道闭锁。 (6) the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease ofvance with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in adnt of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal lishmefor related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the estabue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager resc manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the projectand special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) direct economiccasualties occurred in construction, such as accidents or accidents of the once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1)?fighting equipment. -fire extinguishers and fire- Guard monthly check?ion. ble for regularly inspecting, testing, at any time in good conditfighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsi-day management of the various fire fighting equipment fire-to-daythe strengthening?ad out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel re peningsex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from hapthe written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, 4 治疗婴幼儿外阴炎、阴道炎首先要取分泌物查找病因，必要时做细菌培养加药敏试验。在保持外阴清洁干燥的同时，选用敏感的抗生素口服或将抗生素滴入阴道内。为增加阴道内酸度，还可以用0.5%,1%的乳酸溶液50毫升，经细的橡皮导尿管进行阴道冲洗。 -to-gthening the day stren?onnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing pers om happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) allname, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents fr rson'sonsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) peease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person resp, decrn in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injuredo deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Divisioures te establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedanager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance thect Morderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Proj project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for theonse (1) If a major accident occurs, the project should set up emergency response teams, chaired by the and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency respents of the direct economicof a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accid once every quarter, inspections and tests?fighting equipment. -fire extinguishers and fire- Guard monthly check?n good condition. quipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time ifighting equipment, authorities should be staffed, e-day management of the various fire fighting equipment fire5