急性淋菌性盆腔炎的临床诊断与治疗

Early Diagnosis and Treatment on Acute Gonococcus Pelvis Inflammatory Disease

目的 :总结和探讨急性淋菌性盆腔炎临床诊断和治疗方法。方法 :回顾性分析 86例急性淋菌性盆腔炎病人的临床资料。结果 :86例中 5 4例获临床诊断 ,32例误诊为急腹症。结论 :可疑的急性淋菌性盆腔炎病人 ,应常规作金标免疫检测淋球菌 ,减少漏诊和误诊。采用抗生素全身应用和后穹隆穿刺加药物灌注治疗 ,力求早期、规则、彻底、足量、合理和多剂联合用药 ,避免产生淋菌的耐药菌珠。保守治疗效果不佳 。

Objectives:To summarize and approach the early diagnsis and treatment of acute gonococcus pelvic inflammatory.Methods: Analysis retrospectively the 86 cases clinical materials of acute gonococcus pelvic inflammatory.Results: The 54 cases were diagnosed early.The 32 cases were acute abdominal diseases.Conclusions: In my opinion,it should inspect conventionally with IDEIA PCE to prevent a dubious acute gonococcus pelvis inflammatory disease from neglection or missing.It must be as early,regularly,thoroughly,sufficiently,reasonably and synthetically as possible that to treat with the disease antibiotics by means of general and local administrotion to prvent gonococcus drug resistant.If conservative treatment was not curative,surgical operation should be selected.