流产后感染的诊断与处理

Diagnosis and Treatment of Postabortal Infections

流产后感染对女性生殖健康有极其重要的影响。其发病主要原因:性传播疾病,内源性菌群失调和医源性感染。计划生育手术是医源性生殖道感染的主要途径。术前了解病史,严格掌握手术适应证;术中严格进行无菌操作,按手术常规进行手术;发现出血或损伤等并发症,应积极治疗;流产后一旦发生感染,明确病因,积极治疗,才能最大限度降低流产后感染。流产后感染多为混合感染,宜选择广谱类抗生素药物或联合用药。必须足量使用,防止其转为慢性盆腔炎。在药物治疗的同时,应注意支持疗法,提高机体抵抗力。

Postabortal infections affect the women’s reproductive health significantly.It is caused by sexually transmitted infection,overgrown vaginal flora and iatrogenic infection.Family planning surgery is the major way of iatrogenic infections.General preventive guidelines for postabortal infections include the following：understanding the case history carefully and following the operative indications strictly before the operation,performing surgical operations with appropriate techniques,stopping the blood and repairing the tissue injury immediately during the surgery,and presumptive treatment with appropriate antibiotics.Postabortal infections are often caused by the various vaginal flora,therefore broad-spectrum antibiotics or in combination should be chosen.Appropriate dose of antibiotic should be applied in order to prevent chronic pelvic inflammatory disease.Supportive therapy at the time of antibiotic treatment may be useful for the treatment efficacy.