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淋病是由淋病双球菌引起的泌尿生殖系统粘膜感染。宫颈有淋病双球菌感染者如不早期治疗,可上行传播而发生上生殖系统感染,如宫内膜炎、急性输卵管炎、输卵管卵巢脓肿等。兹将我们收治的2例淋菌性盆腔炎报告于后。 [例1] 谈××,25岁,未婚,工人,因持续高热、腹痛、大便次数增多,在内科给以青、氯、先锋、庆大、卡那等抗生素后转入本科。体检:一般情况较差,贫血貌,血压110/70、脉搏96次,体温39.2°。腹部稍膨隆,压痛及反跳痛显著,肌卫_(+)。肛检:子宫体不清,盆腔似有一儿头大小包块偏左。剖腹探查发现左侧卵巢囊肿约17×15cm,与子宫左侧壁及直肠严重粘连。分离时囊壁破裂,流出淡咖啡色恶臭脓液,行左侧附件切除。子宫及右侧附件正常。脓液涂片找到革兰氏阴性双球菌。病理检查为卵巢炎性囊肿。术后体温迅速下降。追问病史曾有过性交史。病员于术后3周出院。
Gonorrhea is caused by the genitourinary system gonococcal infection of the genitourinary tract. Cervical patients with gonorrhea infection, if not treated early, may be transmitted upstream of the reproductive system infections, such as endometritis, acute salpingitis, tubal ovarian abscess and so on. We will be treated 2 cases of gonococcal pelvic inflammatory disease reported later. [Example 1] Talk about XX, 25 years old, unmarried, workers, due to sustained high fever, abdominal pain, increased stool frequency, in medicine to green, chlorine, Pioneer, Qingda, Kana and other antibiotics into the undergraduate. Physical examination: poor in general, anemic appearance, blood pressure 110/70, pulse 96 times, body temperature 39.2 °. Abdomen slightly bulging, tenderness and rebound tenderness, muscle health _ (+). Anal examination: the uterus is not clear, the pelvis seems to have a small size of the left side of the bag. Caesarean exploration found that the left ovarian cyst about 17 × 15cm, and the left uterine wall and rectum severe adhesions. Separation of the wall rupture, out of light coffee foul pus, the left attachment resection. Uterus and right attachment is normal. Pus smear found Gram-negative bacteria. Pathological examination for ovarian inflammatory cysts. Postoperative body temperature decreased rapidly. Have a history of sexual intercourse history. The patient was discharged at 3 weeks after surgery.