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剖宫产术后感染是细菌通过各种途径侵入手术伤口、胎盘剥离面引起产褥期生殖器及全身的炎症。其发生率国内各地不同。山东、北京、四川报道大约在2~10%。远较阴道分娩产后感染率为高。临床上剖宫产术后感染,多以急性盆腔炎症出现,如炎症不能控制,细菌经血行或淋巴管向周围扩散可发生盆腔结缔组织炎,盆腔腹膜炎,盆腔脓肿及盆腔血栓静脉炎,严重者可发生败血症及中毒性休克,抢救不力可致死亡。因此必须做好剖宫产术后感染的防治工作。一、手术前纠正发生感染的各种因素,阻断感染途径。①作好围产保健工作,指导孕妇注意营养,生活要有规律,注意孕期卫生,产前一个月禁止性生活、盆浴等。②全面的产前检查及详细的病史调查。如发现有贫血、营养不良、心肺肝肾疾病、妊娠高血压综
Cesarean infection is a bacterial invasion of surgical wounds through a variety of ways, placental dissection caused by genital and systemic puerperal inflammation. The incidence is different across the country. Shandong, Beijing, Sichuan reported about 2 to 10%. Far more than vaginal delivery postpartum infection rate is high. Clinically clinical infection after cesarean delivery, and more acute pelvic inflammatory disease, such as inflammation can not be controlled by the blood or lymphatic bacteria spread to the surrounding pelvic connective tissue inflammation, pelvic peritonitis, pelvic abscess and pelvic thrombophlebitis, severe cases Can occur sepsis and toxic shock, poor rescue can cause death. Therefore, prevention and treatment of infection after cesarean section must be done. First, to correct the various factors before infection, blocking the infection. ① make a good job in perinatal care, guide pregnant women to pay attention to nutrition, life should be regular, pay attention to health during pregnancy, prenatal month prohibit sex, bath and so on. ② comprehensive prenatal care and detailed medical history survey. Found anemia, malnutrition, heart and lung liver and kidney disease, pregnancy-induced hypertension