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目的探讨绝经期子宫穿孔的临床误诊原因及病原菌药敏结果。方法分析绝经期子宫穿孔患者的诊断过程及绝经期子宫穿孔患者的宫腔病原菌检测。结果误诊率100%,造成绝经期子宫穿孔的病原菌主要是大肠埃希菌26.7%、表皮葡萄球菌33.3%、腐生葡萄球菌肠杆菌属20.0%、金黄色葡萄球菌13.3%。结论对绝经期妇女急腹症患者要注意专科检查,对确诊为绝经期子宫穿孔的患者采用头孢菌素类联合阿米卡星进行抗感染治疗。
Objective To investigate the causes of misdiagnosis and drug susceptibility of pathogenic bacteria in menopausal uterine perforation. Methods The diagnosis of uterine perforation in menopausal women and the detection of uterine cavity pathogens in patients with perimenopausal uterine perforation were analyzed. Results Misdiagnosis rate of 100%, resulting in menopausal uterine perforation pathogenic bacteria are Escherichia coli 26.7%, Staphylococcus epidermidis 33.3%, Staphylococcus saprophyticus 20.0%, Staphylococcus aureus 13.3%. Conclusions Special attention should be paid to patients with acute abdomen in postmenopausal women. Anti-infective treatment should be carried out on cefpirocin combined with amikacin for patients diagnosed as having perimenopausal uterine perforation.