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目的:分析急性盆腔炎的病因、病原体、预防及治疗。方法:追踪我院妇产科自1997年1月至1998年2月收治的32例急性盆腔炎病人的诱发因素,并在治疗前均作了宫颈分泌物培养,按不同的病原体及病理状况分别治疗。结果:本病诱发因素各不相同,因此应采用不同的预防措施。本组32例病人中,30例(93.75％)经药物治疗痊愈,2例因有盆腔脓肿形成,且经药物治疗无效,行手术治疗痊愈。结论:急性盆腔炎的诱因繁多,有时为混合感染。作者认为妇女的自我保护意识及性教育亟待加强。中西医结合治疗,遵循足够剂量和足够疗程的原则以及根据不同病原体、不同病理,采用不同的药物和方法,方可取得满意的效果。
Objective: To analyze the etiology, pathogens, prevention and treatment of acute pelvic inflammatory disease. Methods: The obstetrics and gynecology of our hospital from January 1997 to February 1998 admitted 32 cases of acute pelvic inflammatory disease induced factors, and were treated before cervical secretions were made according to different pathogens and pathological conditions treatment. Results: The predisposing factors vary, so different precautions should be taken. The group of 32 patients, 30 cases (93.75%) recovered by drug treatment, 2 cases of pelvic abscess formation, and the drug treatment is ineffective, cured by surgery. Conclusion: Acute pelvic inflammatory disease causes many, sometimes mixed infections. The author believes that women’s self-protection awareness and sexual education need to be strengthened. Integrative treatment, follow the principle of adequate dose and adequate treatment and according to different pathogens, different pathologies, using different drugs and methods, can obtain satisfactory results.