急性淋菌性盆腔炎的临床诊断与治疗

Clinical diagnosis and treatment of acute gonococcal pelvic inflammatory disease

目的：总结急性淋菌性盆腔炎的临床诊断及治疗措施。方法回顾性分析2013年10月至2014年10月在确山县人民医院就诊的68例急性淋菌性盆腔炎患者的临床病例资料，总结其临床诊断和治疗经验。结果68例患者中44例初次诊断即确诊，给予规范抗感染和对症治疗后均痊愈；24例患者被误诊为急腹症，在采取手术探查后确诊为急性淋菌性盆腔炎，给予规范化抗菌和对症治疗后均治愈。结论疑似急性淋菌性盆腔炎患者需进行常规的金标免疫检测，以免造成误诊和漏诊；对于确诊患者给予早期、规则、合理、足量以及联合用药可获得较好的临床效果，对于治疗效果较差患者需尽早行手术治疗。

Objective To summarize the clinical diagnosis and treatment for acute gonococcal pelvic inflammation.Methods Retrospective analyzed clinical data of 68 cases of acute gonococcal pel-vic inflammatory disease treated in People ’ s Hospital of Queshan from October 2013 to October 2014, summarized the clinical diagnosis and treatment experience .Results Among the 68 patients, 44 patients were diagnosed with primary diagnosis that is given norms were cured after anti-inflammatory and symptomatic treatment;24 patients were misdiagnosed as acute abdomen , after taking surgical exploration diagnosed as acute gonococcal pelvic inflammatory disease , bacterial and give standardization .They were cured after symptomatic treatment .Conclusions Gonococcal suspected acute pelvic inflammatory disease require routine immunoassay gold standard , in order to avoid misdiagnosis and missed diagnosis;for the early diagnosis of patients with given rules , reasonable , adequate , and the combination can achieve better clinical results , less effective patients need surgical treatment as early as possible .