Female health regimen

The main causes of acute endometritis are abortion, puerperal infection, intrauterine device of contraceptive device, radium needle, dilatation of cervix, diagnosis and curettage, electric cauterization of cervix, laser and microwave physical therapy, etc..

Except in the delivery or abortion after acute endometritis, because the wound or larger residual part of the placenta or because of bacterial virulence and can lead to clinical symptoms of severe intrauterine acute endometritis, other reasons caused by the majority of light, which is an opening to the vagina and uterine cavity to inflammatory secretion drainage.

Clinical manifestation of acute endometritis

There are even more acute onset, chills, chills, have a fever (38 to 40 DEG C), pulse rate, body weakness, sweating, abdominal pain and even the drama, falling back. A large number of bloody, purulent or watery leucorrhea, and a foul smell. It is the soil color lochia postpartum infection.

Sign: lower abdomen tenderness of patient. Speculum examination visible uterine mouth there is a lot of purulent or bloody odor pollution discharges. Cervical lifting pain during bimanual examination. The uterus is swollen and swollen with tenderness and tenderness. The number of leukocytes and neutrophils increased in the tests.

Acute endometritis symptoms

(1) patients may have mild fever, abdominal distention, pain, and more persistent.

(2) the leucorrhea quantity increases obviously, may be purulent, has the fetid odor, may also present the bloody. In acute endometritis puerperium often have lochia dripping wet, smell more as bacilli and anaerobic bacteria E. if infection, hemolytic streptococcus and Staphylococcus aureus infection, general lochia less, there is no obvious smell, but easily through lymphatic spread.

(3) when gynecological examination, see the cervix of the uterus have purulent leucorrhea, cervical lifting pain, uterine body has mild tenderness. Laboratory examination showed leukocytosis and neutrophilic leukocytosis.

Treatment of acute endometritis

1. general treatment

(1) the diet is easy to digest with liquid or semi liquid, and contains high calorie, high protein and multi vitamin foods. Should not eat, should be supplemented by intravenous nutrition and water, and pay attention to correcting electrolyte disorders and acidosis.

(2) acute endometritis should be in bed rest, and semi recumbent position should be adopted in order to facilitate the limitation of inflammation and drainage of uterine cavity secretions.

(3) lower abdominal hot compress to promote the absorption of inflammation and relieve pain.

(4) high temperature can be physically cooled.

(5) excessive gynecological examinations should be avoided to prevent the spread of inflammation.

2. drug therapy

Antibiotics are the main treatment. Occurs after childbirth or abortion of endometritis, such as suspected placenta tissue residues, in the use of antibiotics should be removed immediately, but at the same time, in order to gently remove intrauterine residue is appropriate, try not to reach a certain dose of curettage, antibiotics, inflammation was controlled, possible curettage, to prevent the spread of inflammation. If the uterus has active bleeding, the uterus can be cleaned up with a large amount of antibiotics.