Clinical manifestations puerperal infection

1. Acute vulva, vagina, cervicitis delivery perineal injury or surgery production lead to infection. Perineal laceration or after the perineum - Lateral wound infection, perineal pain in town, and often can not take seat, there are low heat. Local wound swelling, and the hardware, wound dehiscence, wound pus outflow obvious tenderness. Vaginal laceration and contusion of performance for congestive mucosal ulcer. Purulent secretions increase. Deeper parts infection, can cause inflammation of connective tissue adjacent to the vagina. Cervical deep laceration to the spread of infection, up to Gongpeng organizations, cause pelvic inflammation of connective tissue. 2. Jixingzi intrauterine uveitis, the uterus myositis pathogens by stripping of invasive placenta, the proliferation of the uterine decidual said Endometritis penetrated uterine myometrium said polymyositis. Accompanied the two. Because endometrial congestion, necrosis, a large number of purulent vaginal secretions and there is the smell. If the uterus myositis, then reverted to bad uterus, abdominal tenderness there, especially at the bottom of the Palais. Performance of high fever, headache, increased leukocyte, and other symptoms of infection. 3. Acute pelvic inflammation of connective tissue, along Gongbang acute lymphatic Salpingitis pathogens and blood of Gongpeng organizations, a form of acute inflammatory response and inflammatory mass, at the same time spread fallopian tube formation salpingitis. Maternal performance for the chills, fever, abdominal distention, abdominal pain under serious transgression, and the entire pelvic a "frozen pelvis." Neisseria gonorrhoeae upstream along the reproductive tract mucosa infection of fallopian tubes and pots of abdominal abscess formation, high fever and no rebate. Sustained increase in leukocytes, neutrophils significantly increased nuclear backspace. 4. Acute peritonitis and pelvic inflammatory diffuse peritonitis continue to develop, spread to the uterine serosa, a pelvic peritonitis. Then develop into a diffuse peritonitis, a systemic poisoning symptoms such as high fever, nausea, vomiting, abdominal distention, abdominal examination today there obvious tenderness, and anti-Tiaotong. Secretion of a large number of peritoneal exudate, fibrin cause adhesion coverage, but also in the uterus Xianao rectal abscess formation of limitations, if the abscess affected bowel and bladder diarrhoea, Lijihouchong and dysuria. Acute phase of treatment is not completely can develop into chronic pelvic inflammatory disease and infertility. 5. Thrombosis phlebitis pelvic thrombosis phlebitis often transgressive and uterine vein, ovarian vein and internal iliac vein, the common iliac vein and vaginal vein, anaerobic bacteria is a common pathogens. Unilateral lesions majority, and after a two week I Most of performance for the chills, high fever, symptoms of sustainable few weeks or repeated seizures. Local difficult to check identification and pelvic inflammation of connective tissue. Phlebitis lower extremity thrombosis, and more lesions in the femoral vein, the vein and hardship great saphenous vein, many secondary to pelvic phlebitis, for the flip-thermal performance, lower extremity persistent pain, tenderness or local venous cord-like hard hit, returning blocked blood , cause edema, skin Blushing practiced "white swollen stocks." No significant lesion positive light, signs, color Doppler ultrasound examination can help diagnosis 6. Infection sepsis and septic thrombosis enter shedding blood circulation can cause sepsis, and then can be complicated by septic shock and migratory abscess (lung abscess, renal abscess), if a large number of pathogens into the blood circulation and reproduction form sepsis, for sustained performance high fever, chills, body obvious symptoms of poisoning can be life-threatening.