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30年来危及生命的产科重症感染已明显减少,有效抗菌药物的发展减少了1/3感染致死病例。产科重症感染见于手感染性流产、产时感染(绒毛膜羊膜炎、胎盘炎)、妊娠合并肾盂肾炎等。计划生育政策落实后,非法堕胎的严重后果大为减少。产科感染时革兰氏阴性和阳性细菌均可引起感染性休克和DIC,但以革兰氏阴性杆菌感染为主,占病例的2/3强,过去认为大肠杆菌感染最多,七十年代起发现
The 30-year life-threatening obstetric infections have been significantly reduced, and the development of effective antimicrobial agents has reduced the number of fatalities by one third. Obstetric severe infections found in hand-infected abortion, during labor-induced infection (chorioamnionitis, placental inflammation), pregnancy complicated with pyelonephritis. After the implementation of the family planning policy, the serious consequences of illegal abortion have been greatly reduced. Gram-negative and positive bacteria in obstetric infections can cause septic shock and DIC, but Gram-negative bacilli infection, accounting for 2/3 of the cases, in the past that E. coli infection most, since the seventies found