Delayed cerebral infarction after head injury 943 Ji-Yao Jiang, Cheng Zhu, abercrombie and fitch outlet, and other blood small pull-activating factor and brain injury. Of modern brain injury 1999.10163 168 (2000 o5-15 Received) / senile vulvovaginitis in women of 24 cases R7, Henan 4580130 Hebi City People’s Hospital maternity Yang Xiuping Shiyan Li ’xia -----, ----- ~ Abstract To investigate the clinical manifestations, diagnosis and treatment of older women vulvovaginal etiology, clinical analysis, older women vulvovaginitis 24 down flooded piece by vaginal secretions secretions bacteriological culture and drug sensitivity test. PCR. Vaginal cytology found in senile vulvovaginitis is common in older women after the menopause, ovarian dysfunction, lower estrogen levels. Mucosal thinning of glycogen in the epithelial cells reduced the pH of the vagina increase in local resistance, pathogenic the Yin invasion breeding cause inflammation. Its main clinical manifestations of increased vaginal discharge, vulvovaginal itching, vaginal burning sensation, check to see the vagina was age-related changes, the folds disappear, epithelial thinning, diagnosis is primarily based on their clinical performance, secretions flooded tablets, vaginal exfoliated cells flooded tablets, estrogen levels were measured in the diagnosis. The treatment principles to increase vaginal resistance and inhibition of bacterial growth. _-Like treatment, to use nilestriol treatment of severe cases, can increase vaginal epithelial resistance to the history of capacity, have a special role in the treatment of senile vaginitis. Keywords vulvovaginitis Gong Road off cytology Nepalese senile vulvovaginitis is common in older women after menopause, due to ~ (0 r ovarian function recession, lower estrogen levels, mucosal thinning, the glycogen content of epithelial cells reduce the pH of the vagina increase in local resistance, the pathogen easier to invade the breeding cause inflammation, now senile vulvovaginitis hospital in 1997 to the hospital in April 1998 to 24 cases for clinical analysis. 1 data and 1.1 object methods: The group of 24 cases aged 50 to 65 years of age, average age 55, a history in January - six months, an average of three months. 1.2 Clinical manifestations and diagnosis: major clinical manifestations of genital pain. spasm itching, vaginal discharge, genital ulceration, bloody pus-like vaginal examination showed genital atrophy, vaginal was age-related changes, epithelial atrophy, the folds disappear, epithelial smooth meager, the vaginal mucous membrane hyperemia, small bleeding, vaginal adhesion atresia, thin, cloudy secretions, difficulty urinating. diagnostic methods: ① clinical manifestations of the ② vaginal check ③ secretions smear, bacterial culture and susceptibility testing, (4) PCR detection ⑤ vaginal exfoliated cells in estrogen levels. 1.3 treatment: (1) general treatment: Keep the vulva clean 1% lactic acid, or 0,5% acetic acid solution vaginal washing, in order to increase the acidity of the vagina, ② for the pathogen treatment, local or systemic administration of metronidazole or norfloxacin release vaginal deep 7Ft for a course of treatment. ③ change the vaginal pH. If fungal infection, the use of 2% sodium bicarbonate douching. ④ estrogen therapy: estrogen therapy may be accompanied by severe inflammation, diethylstilbestrol 0.125 ~ 0.25nlg the vagina once a night to put on the 7th for a course, or diethylstilbestrol tablets the lmg research powder mixed tetracycline ointment partial coating with the stubborn cases Seoul estradiol hereby, the collapse ≮ 1:3 service nilestriol, the first 2mg, a month after the to service lnlg. to maintain 2 to 3 months. the nilestriol E3 derivatives, a small dose, the maintenance of long exclude cervical cancer endometrial cancer endometrial shadow D ~ yJ 5 malignant lesions 14 Clinical evaluation: 85% of the patients symptoms after the treatment, to reduce vaginal discharge, genital itching relief, vaginal mucous membrane hyperemia, Vulvovaginal no pain, no dysuria. 2 Results 2.1 secretions Tu tablets Results: 24 patients were taken vaginal discharge smears. trichomonas 10 cases, 4 cases of fungal gonococcus 1 cases, two cases of trichomoniasis merger mold. 2.2 results of bacterial culture: secretion smear negative seven cases of secretions bacterial culture. two cases of Staphylococcus aureus, Escherichia coli four cases, one cases of chain beads bacteria, susceptibility testing to metronidazole, norfloxacin sensitive, not sensitive to penicillin and 2.3 vaginal exfoliated cells of female hormone levels: 24 cases of estrogen in height 18 cases of low, moderate and low two cases of mild depression four cases, no influence of estrogen. 3 Discussion 3.1 women in the 50-year-old postmenopausal ovarian function decline in estrogen levels decline 3.2 Clinical manifestations of lead on estrogen-sensitive organs atrophy, atrophy of the vaginal wall, mucosal thinning to reduce the glycogen content of epithelial cells, vaginal pH values have increased, local resistance, the pathogen easier to invade the propagation caused by inflammation. and features: The main symptoms of increased vaginal discharge, was the yellow water samples, genital itching and burning sensation. examination shows vagina was senile