一名家属坐在佛山市妇幼保健院的药流室外，等待着做人流手术的病人 A family sitting on maternal and children health care centers of foshan medicine flow outdoor,Waiting to do the stream of people surgery patients 两名家属坐在佛山市妇幼保健院药流室外一边等待做手术的病人，一边看着电视上的人工流产宣传片 Two families, foshan city, sitting on maternal and children health care centers of drug flow outside side waiting for the surgery patients,Looking at the TV induced abortion promotional material 文/羊城晚报记者 郑诚 马一凡 实习生 陈丽霞 图/羊城晚报记者 周巍 Wen/Yang cheng evening news reporter ZhengCheng MaYiFan interns ChenLiXia chart/Yang cheng evening news reporter ZhouWei

　　“一名30岁的打工妹，不到两年时间里来我们医院做了多次人流，子宫壁薄得我们都不敢再给她做手术了，但是前不久，她又来了。”这是佛山市中医院一位医生向羊城晚报记者讲述的真实故事。

"A 30-year-old migrant,Less than two years to our hospital for many people,Uterine wall thin we all can't give her to do the surgery,But not long ago,She came."This is a doctor, foshan city hospital of traditional Chinese medicine to the yangcheng evening news reporter tells the true story.

　　佛山市妇幼保健院最近的统计数据显示，该院从去年10月到今年10月共实施人流手术9493起，超过一半的女性为外来打工者；佛山中医院一年人流手术3600多起，绝大部分也是外来务工者；顺德有两家医院每年所做人流手术超过1万例，其中五成以上是外来工……

Foshan maternal and children health care centers of latest statistics data show,The hospital since last October to October this year a total of 9493 cases of implementation of the stream of people surgery,More than half of the women for migrant workers;Foshan hospital of traditional Chinese medicine in the stream of people surgery more than 3600 up,Most of the migrant workers who work also;Shunde has two hospitals do every year the stream of people surgery more than 10000 cases,More than fifty percent of them are migrant worker……

　　珠三角地区制造业发达，不少妇科医生指出，打工妹已经成为接受人流手术的主体，且呈现低龄化、重复人流次数多等特征。不少医生担忧高人流比例将会“伤害一代人”。

The pearl river delta region in the manufacturing industry developed,A lot of gynecological doctors say,Migrant has become the main body of the stream of people surgery to accept,And present DiLingHua/Repeat people of multiple characteristics.Many doctors worry high flow ratio will be"Damage generation".

　　4次人流，惨痛的“学费” Four people,painful"tuition"

　　19岁的阿丽（化名）来自湖南农村，17岁时到佛山，在一家小纺织厂打工。她眼睛大、皮肤白皙，“可能刚来时我在姐妹里气质比较突出。”阿丽淡淡一笑说。

At the age of 19 beautiful(alias)From the hunan rural,17 years old to foshan,In a small textile factory jobs.Her big eyes/The skin fair-skinneds in vain,"May I just come in and sisters in temperament is more outstanding."Beautiful smile said.

　　到佛山半年后，阿丽认识了一个比她大二十多岁的工厂小老板，对方已有家室。但是渴望得到感情、渴望安全感的阿丽还是选择与这个男子偷偷在一起。不久以后她有了身孕，对方明确表示不可能要这个孩子。阿丽依然清楚地记得第一次去做人流的场景：躺在手术台上的她因为紧张而流泪不止，直到在全麻后渐渐失去了感觉。

To foshan after six months,Beautiful met a big than her more than ten years old factory small boss,Each other for families.But yearn for affection/Eager to secure beautiful or choice and the man secretly together.Soon after she is now pregnant,The other party made it clear that it could not be the child.Beautiful still clearly remember the first time to do people scene:Lying on the operating table she because of strain and shed tears more than,Until after general anesthesia in gradually lost feeling.

　　在接下来的一年多里，她竟然又三次“光顾”了这家医院妇产科，那位“肇事”的男子每次都只是爽快地掏钱、轻描淡写地安慰几句。“做了几次人流以后，我开始觉得自己身体变差，经常在路上走着走着就有要虚脱的感觉。”

In the next years,She actually and three times"patronage"The hospital department of gynaecology and obstetrics,the"Hit and"Man always just racily pay/Granted, a few words of comfort."Do a few times after people,I began to feel the body becomes poor,Often in the road walk have to atrophy feeling."

　　第四次人流做完后，阿丽腹痛不止，两腿僵硬酸痛、月经失调，去医院检查后发现她由于人流次数过多且术后不注意休息，患上了盆腔炎、输卵管粘连等疾病，很可能会导致今后不孕。替她做手术的医生看着都落泪了。

The fourth people after finish,Beautiful abdominal pain more than,Two legs stiff ache/Menstrual disorder,To the hospital examination found her because the number of people too much and postoperative do not pay attention to rest,Had pelvic inflammatory disease/Tubal adhesion and other diseases,Is likely to lead to infertility in the future.For her surgery doctor looking at all the tears.

　　“在男女关系中，女性总是要承担更严重的后果，如果不懂得保护自己，就会受到伤害。”阿丽说，她用“四次流产”当“学费”，算是给自己的人生“上了一课”。

"In the relationship between a man and a woman,Women always want to assume more serious consequences,If you don't know how to protect themselves,Will hurt."Beautiful said,She used"Four abortion"when"tuition",It is his life"A lesson".

　　学生妹：“人流有什么可怕？” Students younger sister:"People have what terrible?"

　　国家人口计生委科学技术研究所本月发布数据称，中国每年人工流产人次达1300万；而近期广东省性学会发布的《广东省流动人口生殖健康知识状况及影响因素分析》报告显示，约有31.91%的女性外来工曾意外怀孕；记者近日走访佛山多家医院调查发现，人流者中外来打工妹普遍超过一半以上，这还不包括许多隐瞒真实身份者。

The national population family planning science and technology institute released this month said data,Every year China abortion 13 million people;But in guangdong sexology be released[Guangdong floating population reproductive health knowledge status and influence factors analysis]The report shows that,About 31.91% of women migrant workers have accidental pregnancy;Recently, reporters to visit foshan many hospitals survey found,People in those foreign migrant generally more than half,This does not include many conceal the true identity.

　　"学生妹’群体也在人流者中占比较高。”佛山禅城区中心医院妇产科主任张映辉告诉羊城晚报记者，在她几十年的从医生涯中，对一个来做人流的14岁小女孩的印象十分深刻

"Students younger sister’Group also at the person of those is higher."Foshan chancheng district central hospital, director of the department of gynaecology and obstetrics ZhangYingHui told the yangcheng evening news reporter,In her decades of medical profession career,For a to do people 14-year-old girl is very deep impression

　　“她是个初中生，那天穿着校服来的，长得很稚嫩，却能给人一种成熟的感觉。”张映辉说，当时检查出女孩有了40多天的身孕，便推荐她药流。张映辉心疼这个小女孩，就把她拉到一间屋子里准备单独叮嘱她如何吃药，女孩却有些不耐烦地说：“我知道啦！我已经吃过两次了。”

"She is a junior high school student,That day to wear uniforms,Grow very young,But it can give a person a kind of mature feeling."ZhangYingHui said,When checking out the girl had more than 40 days of pregnancy,He recommended her medicine flow.ZhangYingHui love dearly the little girl,She pulled into a room ready to separate told her how to take the medicine,But the girl some impatiently say:"I know!!I have eaten two times."

　　张映辉心里一惊，为了女孩好，她决定再“吓唬”她一下：“你知道人流的后果吗？会导致很多妇科病，以后生不出孩子，可能会嫁不出去，不怕吗？”女孩淡淡地回应了一句：“人流有什么好怕的？”

ZhangYingHui in the mind a surprised,In order to girls,She decided to"scare"She once:"Do you know the consequences of people?Can lead to a lot of gynecopathy,Born after the children,May marry not go out,Not afraid??"The girl lightly response 1:"People have what good afraid of?"

　　张映辉说，一年内做两、三次人流的在校学生她见过不少，人流低龄化、重复人流者多已是一个明显特征。

ZhangYingHui said,A year do two/Three times of the people in the school student she met a lot of,People DiLingHua/Repeat a people is an obvious characteristics.

　　佛山市妇幼保健院妇产科主治医师叶秀涛表示，她也遇到过很多学生妹来做人流，最小的仅12岁。具体有多少学生妹做人流医院方面无法统计，因为不少未成年人在填资料时谎报年龄，医生也不敢揭破，怕把她们逼去黑诊所，那对她们会造成更大的伤害。

Foshan maternal and children health care centers of department of gynaecology and obstetrics attending doctor YeXiuTao said,She also met many students younger sister to do people,The smallest only 12 years old.How many students are there specific younger sister do people's hospital can't statistics,Because a lot of minors in filling data lie about your age,The doctor also can't JiePo,They were afraid of force to black clinic,The they will cause more damage.

　　叶秀涛在工作中发现，年龄偏大的女性，在接受人流手术后往往心理创伤很大，而不少年轻女孩则错误地认为身体“经得起折腾”。事实上，由于人流会造成子宫内膜减少、输卵管堵塞和内膜炎等感染问题，约有三分之一做过人流的女性今后的生育会受影响。此前有调查发现，约有70%的不孕患者是因为流产后期感染、损伤子宫等原因导致无法怀孕。

YeXiuTao in work found,Older women,In accepting the stream of people surgery often after a psychological trauma,Many young girls are wrong to think that the body"Is a bear for punishment".In fact,Because people will cause endometrial reduce/Tubal blockage and intimitis infection such as problem,About a third of the abortion women in the future of birth will be affected.Previous research has found,About 70% of infertile patients because abortion late infection/Injury and other reasons lead to the uterus couldn't be pregnant.

　　张映辉则表示：“这几年不孕症的上升速度很可怕，大概比两三年前增长了20%，这其中，正是人流造成了一部分女性不孕。”

ZhangYingHui, said:"Over the past few years infertility rising velocity is very terrible,About two or three years ago than increased by 20%,the,It is poured caused part of female infertility."

　　张映辉对于我国一年1300万人次人流这一数据持保留意见，她认为数量远不止这些。“因为还有很多私人医院、黑诊所的数字是无法统计的。”她担心，高人流比例会“伤害一代人”。

ZhangYingHui for our country a year 13 million passengers poured the data a qualified opinion,She thinks that quantity is far more than these."Because there are a lot of private hospital/Black clinic number is not statistical."She was afraid,High flow rate could be"Damage generation".

　　性教育缺失，关爱不到位 Sex education lack,Love does not reach the designated position

　　叶秀涛说，对于每个来做人流的女性，医生都会给出如何避孕的建议，但是有些女性听说吃避孕药会发胖而拒绝服用，怀着侥幸心理，结果造成重复人流。

YeXiuTao said,For each to do people of women,The doctor will be given about contraception suggestion,But some women heard that eat contraceptives'll get fat and refused to take,With luck,Result repetition people.

　　“外来务工女性群体中，多数人学历较低，我们发现个别人已经生过小孩却还不知道什么是‘避孕’，甚至从未听说过‘上环’。”叶秀涛分析这一群体人流率较高的原因时认为，“她们身在异乡，很容易和男友相爱、同居，有些人流后又很快同房，不采取避孕措施。”

"Migrant women in the group,Most people with low degree,We found that individuals have gave birth to the child they still don't know what is‘contraceptive’,Never even heard of‘On ring’."YeXiuTao analysis this group, the higher rate of flow when it causes,"They live in foreign,Very easy and her boyfriend love each other/cohabitation,Some people soon after her,Do not take contraceptive measures."

　　张映辉表示，家庭教育、学校教育和社会宣传不够到位，造成了现在的情况。“这些年我发现，很多来做人流的年轻女孩都是来自单亲家庭，或者从小没有和父母一起生活，家庭在性教育方面是缺位的。”最令她担忧的也是来自农村的打工妹群体，“20年前，我还经常跟着计生队一起到农村定期派发安全套，讲解避孕知识，现在这方面做得反而不如从前了。”

ZhangYingHui said,Family education/School education and social publicity is not in place,Caused the situation."Over the years, I've found that,A lot of people to do the young girls are from single-parent families,From childhood or not live together with their parents,Family in sex education is of absence."The most to her concern is also from rural migrant population,"Twenty years ago,I also often follow family team together to rural regular distributing condoms,Explain contraceptive knowledge,Now doing this kind of things but as before."

　　近几年陆续有工厂或学校请张映辉去讲课，“我是很乐意去的，但一年也就两三个工厂和学校找我们，太少了。”

In recent years have a factory or school please ZhangYingHui to lecture,"I'll be glad to go,But a year is two or three factories and schools to find us,Too little."

　　记者从佛山市妇幼保健院了解到，该院已于今年5月开始实施“人流后关爱项目”，向手术后的女性详细介绍术后注意事项、提供避孕咨询。然而，至今5个多月过去了，来做人流手术的女性依然不见减少。

Reporters from foshan maternal and child care service centre to know,The hospital has to may begin to carry out this year"People love after the project",After the operation to women detailed introduction the matters needing attention/Provide contraception consulting.however,So far more than five months,To do the stream of people surgery of women still does not see reduce.

　　国家二级婚姻家庭咨询师温馨在接受羊城晚报记者采访时建议，政府应该扩大她们的社交平台，增长她们的婚恋知识，调整她们的社交定位。“医院也应该定期到工业园去进行普卫宣传，为她们开通专门的热线，而不要只是办一两场讲座。”她认为，建立长效关爱机制才是解决问题的出路。

National secondary marriage and family consultants warmth in accepting the yangcheng evening news reporter to interview Suggestions,The government should expand their social platform,Growth their marriage knowledge,Adjust their social position."The hospital should also regularly to industrial park to PuWei propaganda,For they opened special hotline,And don't just do one or two lectures."She thinks,Set up a long term care mechanism is a way to overcome the difficulty.

　　故事 The story

　　从恐惧到麻木人流竟成习惯 From fear to numb people unexpectedly into habits

　　有一个病例，让佛山市中医院妇科副主任医师朱巧玲一直难忘。

There is a case,Let foshan hospital of traditional Chinese medicine of doctor of vice director of gynecological ZhuQiaoLing always unforgettable.

　　大约是2004年，朱巧玲接诊了一个17岁的女孩王娟（化名）。她来自江西，在禅城区一家服装厂打工。刚进厂不久，看到周围很多工友都找到了男友，王娟也急急忙忙地找了一个男孩。交往不到三天，他们就发生了性行为。因为根本没有避孕意识，20天后，王娟发现例假迟迟不来，还以为是工作劳累所致。直到两三个月后，她才意识到要到医院进行检查。

About 2004 years,ZhuQiaoLing accepts a 17 year old girl wang Juan(alias).She comes from jiangxi,In chancheng district a clothing factory jobs.Just enter factory soon,See around a lot of workers found a boyfriend,Wang Juan also in a rush to find a boy.Communication is less than three days,They happened sexual behavior.Because no contraceptive consciousness,20 days after,Wang Juan found that official holiday has not to,Thought it was caused by working hard.Until two or three months later,She didn't realize to the hospital for examination.

　　“当时她已经怀孕三个多月了，没办法药物流产。因为第一次打胎，女孩十分恐惧，一直死死地盯着我，不停地问手术疼不疼。”术后，朱巧玲和王娟聊了很久，介绍了很多避孕常识，希望她以后懂得保护自己。

"She was already pregnant more than three months,Can't drug abortion.For the first time have an abortion,The girl is very fear,Always kept an eye on me,Kept asking operation painful not painful."the,ZhuQiaoLing and wang Juan had a long chat,Introduces a lot of contraceptive knowledge,Hope she later know to protect themselves.

　　“但是四个多月后，她又来了。”这让朱巧玲分外诧异。问及原因时，王娟回答得轻描淡写：“男朋友不喜欢戴套。”朱巧玲向她提出警示再做人流的话，以后可能就不能怀孕了。

"But more than four months later,She came."It makes ZhuQiaoLing particularly surprised.Asked her why that was,Wang Juan answered understatement:"Boyfriend don't like to wear set."ZhuQiaoLing to ask her warning to do people words,Later, they could not pregnant.

　　令朱巧玲想不到的是，随后的八年里，王娟一共到该院做了八次人流。“最可怕的是，王娟常常这么说，“我身边不少朋友都做过人流，无非是花点钱，又不疼。”

Make ZhuQiaoLing unexpected is,Then eight years,Wang Juan altogether to the hospital do eight people."The most terrible is,Wang Juan often say so,"Me many friends abortion,It is spend some money,And not painful."

　　“各种流产方式均选择过，甚至有4次是宫外孕。最后一次人流时，我发现她的宫腔粘连，子宫早已受损，才25岁的姑娘，已经出现了闭经的情况。”朱巧玲说，因为多次宫外孕，王娟以后正常妊娠的可能性已非常低，“很可能一怀上就流产。”

"All kinds of abortion mode are selected,Even has 4 times is ectopic pregnancy.The last time when people,I found her uterine cavity adhesion,Uterus already damaged,The girl is only 25 years old,Have appeared amenorrhoea situation."ZhuQiaoLing said,Because many ectopic pregnancy,Wang Juan after the possibility of normal pregnancy has very low,"Probably a bear is abortion."

　　郑诚、马一凡、陈丽霞

ZhengCheng/MaYiFan/ChenLiXia