Acute pelvic inflammation!
Genitals inside the female and it surroundings of the connective tissue, the acute inflammation of the peritoneum occurrence of the pelvic cavity call acute pelvic inflammation.It is the gynecology familiar disease, the inflammation can limit at a part, also a few part is taken bad in the meantime, the acute inflammation probably causes a diffuse peritonitis, septicemia with the result that septic shock etc. severity result.The cardinal cause of disease have:Infect after postpartum or abotion, the temple surgical operation inside the antrum operate post-operative infection, the menstruation be dirty, close by the inflammation of organ directly spread and the chronic pelvic inflammation be acute to go into action etc..Cardinal with the result that germ:Staphylococcus, streptococci, large intestine ? mold, anaerobe…etc..Acute pelvic inflammation such as don’t give in time effective treatment, the inconstancy is the mind and body health of chronic pelvic inflammation but affect women, remarkable.
Clinical situation
1.Since disease at present abdominal pain, the companion have fever, rigor. 2.If the companion contains peritonitis, then have a nausea, emesis, meteorism, diarrhea. 3.If there is abscess formation, can there is inferior belly wrapping piece and partial stress stimulus a symptom, such as the urinary bladder stimulate symptom and rectum stimulate a symptom. 4.The patient presents acute sickly appearance, body temperature Gao, the herat rate is quick, meteorism, the inferior belly department iliacus strain, tenderness and rebound tenderness. The 5. pelvic cavity check:Vagina hyperemia, congestion, scorching hot, a great deal of pus discharge, secretion;Empress the fornix touch a pain, the temple neck encourage pain;The uterus is slightly big and soft and the tenderness, activity be subjected to a limit;The enclosure region increase thick, tenderness, wrap a piece.
Diagnose a basis
1.There are abotion, delivery, parturition, gynecology surgical operation or chronic history of pelvic inflammation and menstrual phase notting be handled properly a history in the near future. 2.The rigor, hyperpyrexia, headache, spirit don’t flap, appetite bad, and inferior belly pain, the leucorrhea increase etc. performance. 3.The muscles of abdomen is nervous, two inferior belly tendernesses and rebound tenderness, the augmentation, tenderness, pelvic cavity of the PV uterus wraps piece, abscess…etc.. 4.Leukocyte, white blood cell, WBC total amount and classification increase Gao. 5.Expeled an appendicitis, ectopic pregnancy, ovarian cyst pedicle to turn round or broken etc. acute abdomen.
Treat a principle
1.Lie a bed rest, the half is decubitus;Enter rich the Diet of Nutrition, easy digestion;The anemic is a little amount to transfuse blood;The heavy hour of pain is to the analgesic. 2.Control an infection:Choose to use strong dint, in great quantities antibiotic, in common use cephalosporin, ammonia Xia penicillin, nail nitric Shi etc. vein intravenous drop 3.When Yi had a tissue thing inside the temple to remain, the control infection juniors went pure temple Shu. 4.Surgical operation treatment:Abscess formation, treat through the drug 48 ? 72 hour, the body temperature keeps on a descent and be poisoned the symptom aggravate or lump augmentation, go an abscess to cut open a drainage;Pyosalpinx or oviduct, uterine tube, Fallopian tube ovary abscess can continue to control an inflammation number to go a surgical operation treatment in the days to come through the condition one who have amendment of the drug treatment;Suddenly the abdominal pain turn worse, hyperpyrexia, rigor, nausea, emesis, meteorism, refuse press or have the intoxication the shock, Yi abscess rupture, should immediately the Pou abdomen fish for. 5.Treat disease support.
Use a medicine principle
1.To the light acute pelvic inflammation, with the application green enzyme vegetable, D amine card that enzyme vegetable or the nail nitric Shi intravenous drip is lord; 2.To heavy type acute pelvic inflammation, with the combination apply 2 specieses or 2 specieses above anti-virus vegetable is proper. 3.Abscess formation, the drug treats effect disregard to think, go an abscess to cut open to lead to flow and take a pus liquid to make bacterium cultivation and medicine quick indol test, choose to use strong dint, effectively antibiotic.
