现代妇产科进展2017，Vol.26Issue(12)：898-900,904,4.DOI:10.13283/j.cnki.xdfckjz.2017.12.004
妇科重症感染8例病例报道并文献复习
Severe pelvic inflammatory disease:a report of 8 cases and review of literatures.
刘玉婷 1史宏晖 1于昕 1王姝 1樊庆泊 1刘海元1
作者信息
- 1. 中国医学科学院 北京协和医院妇产科,北京 100730
- 折叠
摘要
Abstract
Objective:To discuss the clinical characteristics,diagnosis and treatments of severe pelvic inflammatory disease. Methods:The clinical data of 8 cases with severe pelvic inflammatory disease in Peking Union Medical College Hospital from Jan. 2000 to Sep. 2016 were studied retrospectively and literatures were reviewed. Results:Fever,abdominal pain and pelvic mass were the main symptoms. The incidence rate of septic shock was 50%(4 / 8). Intes-tines were affected in 4 cases. 6 emergency surgeries were performed(75. 0%). Among the 8 cases,2 underwent cystectomy,3 performed affected-side adnexectomy and 3 received hysterec-tomy with unilateral or bilateral adnexectomy. After surgery,1 had incision infection,1 had per-foration of intestine and stress-induced cardiomyopathy,1 had pulmonary embolism. The follow-up rate was 87. 5%(7 / 8)with follow-up time of 2 ~ 74 months. 1 case received another conser-vative treatment for postoperative recurrence of pelvic inflammation after 8 months. Conclusion:Delayed treatment and rupture of pelvic abscess could lead to severe complications. Sugery should be performed in time. Patients with endometriosis are prone to develop severe pelvic in-flammatory disease. Multidisciplinary cooperation is needed if intestine is affected. It is very im-portant to strengthen the perioperative care for postoperative complications are dangerous.关键词
盆腔脓肿/重症感染/治疗Key words
Pelvic abscess/Severe infection/Treatment分类
医药卫生引用本文复制引用
刘玉婷,史宏晖,于昕,王姝,樊庆泊,刘海元..妇科重症感染8例病例报道并文献复习[J].现代妇产科进展,2017,26(12):898-900,904,4.
