Emergency care in adolescents with pubertal uterine bleeding, COMPLICATED with hemorrhagic anemia on THE BACKGROUND of extragenital pathology
Surveyed 128 girls aged 11-18 with pubertal uterine bleeding (PUB), complicated by secondary posthemorrhagic anemia (at 76.6%) on the background of extragenital pathology (at 75%). The main risk factors of PUB were unfavorable premorbid background in neutral and prepubertal periods (44.3% and 54.6% of cases - respectively), the presence of foci of chronic infection (64.9 % of cases). 40.6% of girls were delivered to the clinic urgently, 15.6% of patients needed resuscitation. Effectiveness of therapy depended on the speed of the correct diagnosis, adequate assessment of the severity of patients to select the method of hemostasis and treatment of posthemorrhagic anemia.