Outline
In the female the reproductive organ and the periphery knot contract the organization, the pelvic cavity peritoneum to have the acute inflammation to call the acute pelvic inflammatory disease. It is gynecology department common disease, the inflammation may limit to a spot, may also several spots be also taken bad, so that the acute inflammation has the possibility to cause the proliferating peritonitis, the septicaemia the infectious shock and so on serious results. The main cause of disease includes: After post-natal or miscarriage, after infecting, in the palace cavity the surgery operates the technique, infects, the menstrual period not health, adjacent organs’ inflammation direct spread, the chronic pelvic inflammatory disease ute attack and so on. Main pathogenic bacteria: Staphylococcus, chain coccus, backwoods coli, anaerobe and so on. The acute pelvic inflammatory disease like does not give the prompt effective treatment, affects woman’s physical and moral integrity instable for the chronic pelvic inflammatory disease, is worth paying attention.
Clinical manifestation
1. gets sick when the hypogastralgia, the partner gives off heat, the shiver. 2. like is accompanied by the peritonitis, then has, the vomit, the distension of the abdomen, the diarrhea disgusting. 3. like has abscess to form, may have abdomen Bao Kuai and the partial oppression stimulation symptom, like urinary bladder stimulation symptom and rectum stimulation symptom. 4. the patient assumes the acute sickly appearance, the body temperature is high, the heart rate is quick, distension of the abdomen, underbelly myo- anxious, tenderness and bounce pain. 5. pelvic cavity inspection: Vagina hyperemia, scalding hot, massive purulent secretion; The latter dome touches a sore spot, the cervix of the uterus favors the pain; The womb is slightly big and soft, the tenderness, the activity is limited; Appendix area accumulation, tenderness, Bao Kuai.
Diagnosis basis
1. in the near future will have the miscarriage, the childbirth, the gynecology department surgery or the chronic pelvic inflammatory disease history and monthly period processing does not work as history. 2. the shiver, the high fever, the headache, low-spirited, the appetite is bad, as well as under the abdomen ache, the leucorrhea increases and so on performance. 3. the musculi abdominis is anxious, two abdomen tenderness and the bounce pain, in examine the womb to increase, the tenderness, pelvic cavity Bao Kuai, abscess and so on. 4. white blood cell total and classified markup. 5. removed the appendicitis, the extrauterine pregnancy, the ovarian cysts peduncle to reverse or acute abdominal pains and so on breakage.
Principle of reatment
1. has bedrest, half decubitus; Enters diet which the rich nutrition, easy to digest; Anemia few bloods transfusion; The pain is heavy when gives the analgesic. 2. control infection: Selects the force, the massive antibiotics, the commonly used cephalosporin, the ammonia animal pen penicillin, the armor niter zuo and so on vein intravenous drip 3. doubts has when in the palace the group fabric remains, after control infection, carries on the clear palace technique. 4. surgery treatment: Abscess forms, after the pharmacological treatment 48-72 hours, the body temperature drops continually, the symptom of poisoning aggravates or tumour enlargement, the good abscess cuts open the drainage; The pyosalpinx or the oviduct ovarian abscess has the change for the better after the pharmacological treatment condition to be possible to continue to control the inflammation several days next the surgery to treat; The sudden abdominal pain intensifies, the high fever, the shiver, disgusting, the vomit, the distension of the abdomen, to resist according to or has the toxic shock, doubts abscess to burst, should cut open the belly the investigation immediately. 5. just right for the illness support treatment.
Medication principle
1. a pair of light acute pelvic inflammatory disease, applies the blue enzyme element, the butylamine card that enzyme element or the armor niter zuo vein drop note primarily; 2. a pair of heavy acute pelvic inflammatory disease, take applies 2 kinds or 2 kind of above antibiotic jointly as suitable. 3. abscess formation, the pharmacological treatment effect is not ideal, the good abscess cuts open the drainage, takes the sanies to make the bacilliculture and the medicine sensitive experiment, selects the force, effective antibiotic.
