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1. Controlling Infections The type, dose, and route of administration of the drug can be determined based on the severity of the condition and the antibacterial spectrum of the antibiotic. Broad-spectrum antibiotics or combination drugs are used until the pathogenic bacteria and drug susceptibility tests are clarified. The commonly used combination regimens are as follows. The susceptibility testing of pathogenic bacteria can choose 1-3 sensitive antibiotics.
(1) Penicillin G (10 million to 20 million U/d) and gentamicin (160,000 to 247 Y/d).
(2) Pioneermycin VI (2-3/d), metronidazole (]-2 d).
(3) Neopenicillin II (4-6 d) and gentamycin (160,000-24 d/3/d).
(4) Erythromycin (2æ—·d), chloramphenicol (2æ—·d).
2. Surgical treatment The potential risk of infectious abortion is the proliferation of infectious lesions, complicated by complications such as septic shock, acute renal failure, and DIC. Therefore, early surgery should be performed to remove the pathogen.
(1) Qing Guanshu: On the basis of antibiotic treatment, it is advisable to clean the officer as early as possible. Preoperative uterine contractions can be used (intravenous or intramuscular) to prevent uterine perforation. During the operation, the oval tissue can be clamped with an oval pliers and the uterine wall can be scraped with a curette. The infected uterus is vulnerable to uterine perforation, so it is best to have an experienced doctor perform the procedure. In addition, the curettage has the danger of accelerating the spread of bacteria blood, and it should strengthen postoperative anti-infective treatment and pay attention to the monitoring of vital signs.
(2) hysterectomy: In general, infectious abortion after the removal of infected embryonic tissue, inflammatory pluripotency control, but there are also individual cases of inflammatory difficult to control, and then there septic shock, all failure and DIC, etc. At the same time, it is also proved that hysterectomy should be considered when there is uterine perforation or serious infection of uterine parenchyma.
3. Supportive treatment Cases of serious infection should be rehydration, correct water and electrolyte balance, blood transfusion and transfusion of human albumin, supplemental calories, etc., in order to enhance the body's resistance and the tolerance of the operation.
(B) the treatment of complications Severe infectious abortion can be complicated by septic shock, acute renal failure, DIC, pelvic thrombophlebitis and other serious complications, clinical attention should be paid to early prevention and treatment.
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