Post Date September, 24 2023
We must pay attention to the occurrence of acute discitis, actively treat it after illness, prevent the condition from worsening, and mainly achieve timely and symptomatic treatment.
Treatment methods for acute pelvic inflammatory disease
1. Drug treatment: After active treatment, the vast majority of acute pelvic inflammatory disease can be completely cured. The pathogens of acute pelvic inflammatory disease are mostly a mixture of aerobic, anaerobic, and chlamydia infections. Both aerobic and anaerobic bacteria can be Gram negative and Gram positive, so antibiotics are often chosen in combination.
2. Supportive therapy: Bed rest and half bed rest can help the rectum and uterus trap and accumulate pus, limiting inflammation. Provide high calorie, high protein, high vitamin liquid or semi liquid foods and replenish fluids. Physical cooling is used during high heat. Try to avoid unnecessary gynecological examinations to avoid the spread of inflammation. If there is abdominal distension, gastrointestinal decompression should be performed.
3. Surgical treatment: There are three situations where surgical treatment can be considered for acute pelvic inflammatory disease.
(1) When medication treatment for acute pelvic inflammatory disease is ineffective, surgical treatment can be considered: if a pelvic abscess forms after medication treatment for 48 to 72 hours and the body temperature continues to rise, the patient's poisoning symptoms worsen or the lump increases, timely surgery should be performed to avoid abscess rupture.
(2) Tubal empyema or tubal ovarian abscess: After medication treatment, the condition has improved, and the inflammation continues to be controlled for several days. The lump has not disappeared but has been localized, and should be surgically removed to avoid recurrence of acute attacks in the future. Surgery is still needed.
(3) Abscess rupture: Sudden exacerbation of abdominal pain, chills, high fever, nausea, vomiting, abdominal distension, refusal of abdominal compression or toxic shock upon examination, suspected abscess rupture, requiring immediate exploratory laparotomy.
Treatment principles for acute pelvic inflammatory disease
1. Rest in bed and enter a semi recumbent position with a nutritious and easily digestible diet. Anemia patients who experience pain from a small amount of blood transfusion are given analgesics.
2. Infection control: Choose strong and abundant antibiotics, commonly used intravenous drops such as cephalosporins, ambroxol, and metronidazole.
3. When there is suspicion of residual intrauterine tissue, control the infection and perform a curettage.
4. Surgical treatment: Abscess formation, medication treatment for 48 to 72 hours, continuous decrease in body temperature, worsening of poisoning symptoms or swelling, abscess incision and drainage surgery for fallopian tube abscess or fallopian tube ovarian abscess. If the condition improves through medication treatment, inflammation can be controlled continuously. After a few days, surgical treatment for sudden worsening of abdominal pain, high fever, chills, nausea, vomiting, abdominal distension, toxic shock
