Acute pelvic inflammatory disease

Summary Female genital mutilation and its environs within the connective tissue, peritoneal acute pelvic inflammatory that acute pelvic inflammatory disease. It gynecological common diseases, inflammation can be confined to one site, but also several positions at the same time the incidence of acute inflammation which may lead to diffuse peritonitis, sepsis resulting septic shock and other serious consequences. Main causes are: post-natal or post-abortion infection, intrauterine infection after surgery operation, menstrual unsanitary, directly adjacent organs spread inflammation, chronic pelvic inflammatory disease, such as acute. Main pathogens: Staphylococcus aureus, Streptococcus, E. coli, such as anaerobic bacteria. Acute pelvic inflammatory disease if not given timely and effective treatment, easily becomes chronic pelvic inflammatory disease affecting women's physical and mental health, note. Clinical manifestations 1. Topical onset of abdominal pain, with fever, chills. 2. Such as with peritonitis, there are nausea, vomiting, abdominal distension, diarrhea. 3. If abscess formation of abdominal mass and can stimulate the local symptoms of oppression, such as the rectum and bladder symptoms stimulate stimulate symptoms. 4. Patients with acute capacity, high temperature, rapid heart rate, abdominal distention, lower abdominal muscle tension, tenderness and anti-Tiaotong. 5. Pelvic examination: vaginal congestion, heartburn, a large number purulent secretions; posterior fornix tenderness, pain cervical flattering; uterus and slightly soft, tenderness, limitation annex areas thickening, tenderness, mass. Diagnosis 1. Near future abortion, childbirth, gynecologic surgery or chronic pelvic inflammatory disease history and the history of improper handling menstrual period. 2. Chills, fever, headache, sleepiness, poor appetite, and abdominal pain, such as increased Leucorrhea performance. 3. Muscle tension, the two abdominal tenderness and anti-Tao Tong, in consultation uterus increased tenderness, pelvic mass, such as abscess. 4. Leukocyte classification and the total number increased. 5. Ruled out appendicitis, ectopic pregnancy, ovarian cysts or torsion fracture of acute abdomen. Treatment principles 1. Bed rest, semi-supine; into nutritious, Yixiaohua diet; anemia, a small amount of blood transfusion; heavy pain when I analgesic agent. 2. Infection control: use of force, a large number of antibiotics commonly used cephalosporins, ampicillin, metronidazole, such as intravenous 3. Intrauterine organizations suspected of residues, control of infection after the Qing. 4. Surgical treatment: abscess formation, the drug therapy 48-72 hours, the temperature continued to drop, or increase the mass poisoning symptoms increase, the Bank of abscess drainage; tubal empyema, or tubal ovarian abscesses, as a condition improved drug treatment can continue to control inflammation few days later underwent treatment; sudden abdominal pain intensified, high fever, chills, nausea, vomiting, abdominal distension, and rejected by toxic shock or suspected abscess rupture should immediately laparotomy. 5. Symptomatic therapy. Use principles 1. Light of acute pelvic inflammatory disease, the application of Green enzyme, the enzyme-amikacin or intravenous metronidazole mainly 2. Severe acute pelvic inflammatory disease, a combination of two kinds or more than two kinds of suitable antibiotics . 3. Abscess formation, drug treatment is not satisfactory, abscess drainage line, wound pus from a bacterial culture and sensitivity test, the use of force, effective antibiotics.