Figueroa Damian R, Galindo Sainz J, Arredondo Garcia J L
Departamento de Infectología e Inmunología, Instituto Nacional de Perinatología, México, D.F.
Ginecol Obstet Mex. 1992 Oct;60:272-6.
Endometritis is the most frequent infectious complication of the puerperal period; with the objective to know the clinical characteristics, etiology and evolution of this disease we did a retrospective study of the endometritis cases among the patients of the Instituto Nacional de Perinatología (INPer) from January 1st, 1990 to May 31, 1991. During the revision period were diagnosed 120 cases, but we were able to examine only 90. In the 90% the resolution of the pregnancy was by means of caesarean. A 24.4% of the patients had premature rupture of the membranes. The 10% had diagnose of chorioamniotis. The latency period to develop postpartum endometritis was 120 +/- 66 hours, and post-caesarean 56 +/- 30 hours (p = 0.001). The symptom most frequent were fever (100), foul-smelling lochia (61.1%) and uterine tenderness (60%). The infection was polymicrobial, being the microorganisms most frequent isolated Staphylococcus coagulase negative, Escherichia coli and Peptostreptococcus. A 3.3% developed pelvi-peritonitis. One patient died.
子宫内膜炎是产褥期最常见的感染并发症；为了解该疾病的临床特征、病因及演变情况，我们对国立围产医学研究所（INPer）1990年1月1日至1991年5月31日期间的子宫内膜炎病例进行了回顾性研究。在复查期间共诊断出120例病例，但我们仅能检查90例。其中90%的妊娠结局是通过剖宫产实现的。24.4%的患者发生胎膜早破。10%的患者被诊断为绒毛膜羊膜炎。发生产后子宫内膜炎的潜伏期为120±66小时，剖宫产术后为56±30小时（p = 0.001）。最常见的症状是发热（100例）、恶露有异味（61.1%）和子宫压痛（60%）。感染为多微生物感染，最常分离出的微生物是凝固酶阴性葡萄球菌、大肠杆菌和消化链球菌。3.3%的患者发展为盆腔腹膜炎。1例患者死亡。
