今天是盆腔炎的最后一部分,先把上次治疗没讲完的先讲完吧
Typicalregimensincludecefoxitin(头孢西丁)orcefotetan(头孢替坦)plusdoxycycline(强力霉素),andclindamycin(氯林可霉素)plusgentamicin(庆大霉素).Analternativeparenteralregimenisampicillin(氨苄青霉素)/sulbactamplusdoxycycline.Erythromycin(红霉素)-basedmedicationscanalsobeused.Anotheralternativeistouseaparenteralregimenwithceftriaxone(头孢曲松)orcefoxitinplusdoxycycline.Clinicalexperienceguidesdecisionsregardingtransitionfromparenteraltooraltherapy,whichusuallycanbeinitiatedwithin24–48hoursofclinicalimprovement.
关于抗生素这个方面嘛,我也不是太懂啦,ICU里各个都是用抗生素的高手,到时候轮转的时候要好好学习学习。
Prognosis预后
EvenwhenthePIDinfectioniscured,effectsoftheinfectionmaybepermanent.Thismakesearlyidentificationessential.(虽然PID治好了,但是PID留下的一些组织的破坏等等是不可修复的)
Treatmentresultingincureisveryimportantinthepreventionofdamagetothereproductivesystem.(所以要早期治疗啊,不然等下不孕了怎么办)
FormationofscartissueduetooneorepisodesofPIDcanleadtotubalblockage,increasingtheriskoftheinabilitytogetpregnantandlong-termpelvic/abdominalpain.(不孕就算了还有可能导致长时间的下腹痛那不是更痛苦)
Certainoccurrencessuchasapostpelvicoperation,theperiodoftimeimmediatelyafterchildbirth(postpartum),miscarriageorabortionincreasetheriskofacquiringanotherinfectionleadingtoPID.(某些情况下还是会增加发生PID的危险的)
感觉预后主要还是不孕和盆底疼痛这两个比较烦
Complications(并发症)
PIDcancausescarringinsidethereproductivesystem,whichcanlatercauseserious白癜风治疗那家医院好白癜风的外用药