Post Date July, 14 2023
Puerperal infection is a disease that we should pay attention to, and its occurrence poses a serious threat to women's health. After falling ill, we must actively seek treatment, as well as take care of our daily life and diet.
Treatment of puerperal infections
1. General treatment: Strengthen nutrition, provide sufficient vitamins, and if there is severe anemia or weakness in the patient, blood transfusion or albumin can be used to improve resistance. Parturients should take a semi lying position, which is beneficial for lochia drainage and inflammation limited to the pelvis.
2. Antibiotic treatment: Start selecting broad-spectrum antibiotics based on clinical manifestations and experience, and make adjustments after bacterial culture and drug sensitivity test results. The principle of antibiotic use: When selecting broad-spectrum antibiotics, antibiotics that are negative for Gram positive bacteria, aerobic bacteria, and anaerobic bacteria can be activated. Generally speaking, the combination of penicillin and metronidazole is preferred, while cephalosporins have a wide antibacterial spectrum, strong antibacterial effects, and low nephrotoxicity, giving priority. If the body temperature does not continue to decrease after applying antibiotics for 48 to 72 hours, corresponding examinations should be conducted immediately to find the cause, and the dosage of antibiotics should be replaced appropriately to maintain the effective concentration of blood medication. For those with severe poisoning symptoms, short-term administration of hormones to the adrenal glands can improve the body's stress capacity.
3. Traditional Chinese Medicine Treatment: Dialectically select traditional Chinese medicine for promoting blood circulation and resolving blood stasis based on the patient's condition, and use symptomatic treatments such as Wuwei Disinfection Drink combined with Shenghua Tang, modified Dahuang Mudan Pi Tang, or Qingying Tang.
4. Smooth drainage: For perineal infections, immediate removal of the wound is at risk, which is beneficial for drainage. Take a shower at least twice a day. After 48 to 72 hours of antibiotic treatment, if the body temperature still does not decrease and there is no improvement in abdominal symptoms and signs, infection spread and abscess formation should be considered. If there is pelvic abscess formation and conservative treatment is ineffective, surgical treatment should be considered. If the abscess site is low, pus can be extracted through posterior dome puncture or discharged through posterior dome incision. If the abscess site is high, a laparotomy must be performed. If the perineal or abdominal wound is infected, it should be incised and drained.
5. Treatment of thrombophlebitis:
(1) Coagulation treatment: patients with localized superficial phlebitis generally do not need coagulation treatment, but should be treated with extensive or progressive superficial phlebitis and deep vein thrombosis. Severe pain should be treated with painkillers. Patients with inflammation can be treated with antibiotics, while purulent thrombophlebitis should be treated with a large amount of antibiotics.
