??????
?????????????????????
??????????????????
???? ???? ????
????
?????????????????????????????????????
?????????????
?????????????????????????????????????
???????????????????????????????????????
???????????????????????????????????????
??? 314????? 154????? 160????????????????????
??
???????????????????????????????????????
????????????
???????????????????????????????????????
?????????????????????????????????????
?????????????????????????????????????
????????????????????????????????????
?????????????????????????????
1.????????????????
?????????????? 162?
???02-23657907-240
???03-23630326
2.????????????????
3.???????????????
103
??????
?????????????????????
??? ???
???????????/????????????
????
?????????????????????????????????????
????????????????????? 24 ????????????????
???????????????????????????????????????
???????????????????????????????????????
???????????????????????????????????????
?????????????????????
?????????????????
?????????????????????????????????????
???????????????????????????????????????
???????????????????????????????????????
?????????
????????????????????
1.????????????????????????????????????
?????????????????????????
2.?????????????????????????????????????
???????????????????????????????????????
???
3.????????????????????????????????????
?????????????????????????????????????????
?????????????????????????????????????????
????????????????????????????????????????
?????????????????????????????????????????
?????????????????????????????????????????
????????????????????????????????????
104
??????
????????????????
???
????????????
????
???????????????????? PET? Satir???????????
???????????????????????????????????????
???????????????????????????????????????
????????PET???????10??Satir???????12??PET????
??13??Satir??????15?????????????????????????
???????????????????????????????????????
???????????????????????????????????????
????
???????
????????????????????????
??????????? 32???????????????????????????
?????????????????????????????????
???????????32??????????????????????????
?????????????????????????????????????
???????????????????????????????????????
?????????????????????????????????????
???????????????????
105
??????
?????????????????(?)
???
???????????
????
?????????????????????????????????????
???????????????????????????????????????
???????????????????????????????????????
???????????????????????????????????????
??????????????????
?????????????????????????????????????
????? 40??????????????????????? 2??????????
???????????????????????????????????????
??????????????????????????????????????
40????????????????????? 20??????????????? 15
????????? 10?????????????????????????????
???????????????????????????? 55??????????
???? 25????????????????????????????? 50????
??????????????????? 35?????????????????? 15
???????????????????? 70???????????15??????
??????????????? 15???????????????????????
???????????????????????????????????????
???????????????
????????????????????????65????????????
?????????????????????????????????????20?
???????????????????????????????? 15??????
???????????????????????????????????????
??????????
?????????????????????????????????????
??????????????
?????????????????
106
??????
?????????Wartec®????
??? 1,5,*, ??? 2, ??? 2, ??? 3, ??? 2, ??? 4, ??? 5
?????????? 2??? 1????
3?????????? ???
4?????????? ??? 5?????? ???
????
????????Condyloma acuminata??????????????????????
?????????????? podophyllin????????????????????
podophyllin????????? podophyllotoxin??????????????????
????????????????? podophyllotoxin 0.15%??????® / Wartec®
Cream???????????
???????????????????????????????????????
?????????? 18 ??????????????????????
podophyllotoxin 0.15%??????????????????????????????
???????????????????????????????????????
???????????????????????????????
??????????? 2????18????????????? 35.5???? 15?
?75%???????5??25%?????????????????????????
???? 61.1%? 88.9%?8??44.4%??????????????????????
???????????? 6?????????????????????
???????? podophyllotoxin 0.15%?????????????????????
??????????????
????podophyllotoxin 0.15%??????® / Wartec® Cream????????
107
??????
?????????
??? 1 ??? 1,2 ??? 3 ??? 4 ??? 5
????????? 1 ????????????? 2 ??????? 3 ?
????????? 4 ????????? 5
????
???????????????????????????????????? ?
??????? 212??????????????????????????????
?? 129???????????????????????????????????
???????????????????????????????????????
??????????????????????????????????????
???? 129?????????????????????? 6???????? 49
????????????? 31???????????????????????????
????????????93.3%?100%?83.3%?83.3%?75%? 100%?
???????????????????????????????????????
???????????????????????????????????????
???????????
?????????????????????????
108
??????
??????????????????????
Hemorrhagic Shock Due to Consensual Coital Vaginal Laceration
??? ???
?????????
????
Purpose: To demonstrate a severe and rare complication of voluntary coitus and search for the
possible mechanisms of this unique gynecologic emergency.
Case: There was a newly married female presented in our emergency room because of
significant shock. Severe bleeding was found soon during her coitarche. There was no
vaginismus and no any sex toy had been used in this case. When she was sent to our emergency
room, hemoglobin was 5.5Gm/dL and blood pressure was 80/50. After primary repair of the
vaginal lacerations and vigorous transfusion, the life of this female was saved. During operation,
lacerations were found at posterior fornix and right lateral wall of vagina, with active bleeding
of a ruptured artery.
Conclusions: Vaginal laceration causing hemorrhagic shock in a voluntary coitus is a rare coital
injury. Most of the reported cases in literature occurred among adolescence. Among those
women mature enough, it occurred only in parous ones. It is severe and maybe fatal because of
frequent ignorance by patient herself. Fear of coitus and following vaginismus is the main factor
to cause this unique complication. Most of the sites of this kind of injury are located at posterior
fornix and lateral wall, and there are anatomical factors. How to help these females relax
themselves before coitus is the main goal to prevent this kind of coital injury. In addition, it is
important to manage the psychological complication of those who suffered this complication.
109
??????
110
A Study of Viagra Takers' Life Satisfaction
??? ???
??????????/????????????
????
?????????????????????????????????????
??(???????????)?????????(???????)????(????
???)???(??????)?????(??????)???????????? IIEF
???????????????
?????????????????????????????????????
??????????(????)????(???????????)?????????
?????????????????????????? 143??63??30????
?? 15??????????????????????????? 30???? 6??
?????????????????????????????????????
? 2.96???? 3.71???? 3.84??????????????????????P?.01??
?????????????????????????P?.05????????????
???????????????????????????????????????
???????????????????????????????????????
????????????????????????????????????????
??????????
???????????????????????????
Hemorrhagic Shock Due to Consensual Coital Vaginal Laceration
本文档为【论文发表】,请使用软件OFFICE或WPS软件打开。作品中的文字与图均可以修改和编辑,
图片更改请在作品中右键图片并更换,文字修改请直接点击文字进行修改,也可以新增和删除文档中的内容。
该文档来自用户分享,如有侵权行为请发邮件ishare@vip.sina.com联系网站客服,我们会及时删除。
[版权声明] 本站所有资料为用户分享产生,若发现您的权利被侵害,请联系客服邮件isharekefu@iask.cn,我们尽快处理。
本作品所展示的图片、画像、字体、音乐的版权可能需版权方额外授权,请谨慎使用。
网站提供的党政主题相关内容(国旗、国徽、党徽..)目的在于配合国家政策宣传,仅限个人学习分享使用,禁止用于任何广告和商用目的。