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第571例 青年女性—原发性闭经—GnRH脉冲治疗—成功生育 被引量:3
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作者 朱伊祎 王曦 +2 位作者 茅江峰 聂敏 伍学焱 《中华医学杂志》 CAS CSCD 北大核心 2023年第11期850-852,共3页
先天性低促性腺激素性性腺功能减退症(CHH)的女性患者由于促性腺激素缺乏,导致第二性征不发育、原发闭经、不产生卵子和不能受孕。本文报道1例有生育需求的女性患者,32岁,2019年9月因“原发性闭经”就诊于北京协和医院,其雌二醇水平低... 先天性低促性腺激素性性腺功能减退症(CHH)的女性患者由于促性腺激素缺乏,导致第二性征不发育、原发闭经、不产生卵子和不能受孕。本文报道1例有生育需求的女性患者,32岁,2019年9月因“原发性闭经”就诊于北京协和医院,其雌二醇水平低且促性腺激素水平低,无其他垂体前叶激素分泌障碍,无其他慢性系统性疾病,嗅觉正常,CHH诊断明确,经雌、孕激素生理性替代治疗后第二性征发育,促性腺激素释放激素(GnRH)脉冲式皮下注射后成功妊娠并分娩。通过总结分析本病例的诊治过程,提高医务工作者对CHH女性患者从青春发育到成功生育全过程的认识。 展开更多
关键词 性腺功能减退症 青春不发育 性激素替代治疗 促性腺激素释放激素脉冲治疗 妊娠 成功生育
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第579例 青年女性—原发性闭经—嗅觉减退—GnRH脉冲治疗—成功生育
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作者 刘宏颖 伍学焱 《中华医学杂志》 CAS CSCD 北大核心 2023年第45期3691-3693,共3页
Kallmann综合征是先天性低性腺激素性性腺功能减退症的一种类型,女性多表现为原发性闭经、青春期不发育、嗅觉减退、不孕等。本文报道1例青年女性Kallmann综合征患者,患者2009年因“原发性闭经”就诊于北京协和医院内分泌科,促性腺激素... Kallmann综合征是先天性低性腺激素性性腺功能减退症的一种类型,女性多表现为原发性闭经、青春期不发育、嗅觉减退、不孕等。本文报道1例青年女性Kallmann综合征患者,患者2009年因“原发性闭经”就诊于北京协和医院内分泌科,促性腺激素及雌激素水平减低,曲普瑞林兴奋试验激发后黄体生成素无明显升高,超声提示小子宫,嗅神经MRI提示嗅球、嗅束未发育,垂体MRI未见肿瘤、炎症表现,其他垂体前叶激素未见异常,Kallmann综合征诊断明确,给予规律雌、孕激素替代治疗。2022年因有生育要求应用促性腺激素释放激素(GnRH)脉冲治疗成功受孕并分娩。通过分析总结本例的诊治经过,提示临床工作中对于以原发性闭经起病伴嗅觉减退的患者需考虑Kallmann综合征可能性,正确诊断及早期治疗有助于患者成功生育。 展开更多
关键词 卡尔曼综合征 原发性闭经 嗅觉减退 促性腺激素释放激素脉冲治疗 妊娠 成功生育
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The Chinese response to the challenges of aging 被引量:1
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作者 穆光宗 《Social Sciences in China》 2009年第1期119-136,共18页
The burden of support for the elderly, intergenemfional relationships and value realization constitute three vital factors that will shape China's sustainable development in the future. These three issues translate t... The burden of support for the elderly, intergenemfional relationships and value realization constitute three vital factors that will shape China's sustainable development in the future. These three issues translate themselves into the problem of "fewer producers and more consumers" in the field of economics, or intergenerational conflicts over distribution of resources and power and the issue of old people's value realization in the field of sociology. From the perspective of demography, old persons who are vulnerable as a result of family planning occupy an ever increasing proportion of the population, and China can expect to see a large number of "elderly people affected by family planning." This concept has been formulated to draw the attention of government and government departments at all levels to the public benefit and welfare character of public services in population and family planning. Aging poses long-term and diverse challenges to a China that is getting old before it gets rich. In response to such challenges, this paper proposes a strategy of "successful aging" that foresees an old age of health, activity, harmony and happiness. In responding to population aging and the challenges it poses, Chinese society has developed a unique approach that combines tradition with modem elements. This approach may be summarized as being based on old age support by families, work units (collectives) and self-help, supplemented by the community, social welfare and philanthropy. The paper concludes with a brief review of the contributions in this special issue within the framework of"China's problem and China's choices." 展开更多
关键词 successful aging elderly people affected by family planning harmonious aging ethic offilial piety old-age security
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