Faro Sebastian
Department of Obstetrics, Gynecology, and Reproductive Sciences, The University of Texas Houston Health Sciences Center, Houston, TX 77054, USA.
Clin Perinatol. 2005 Sep;32(3):803-14. doi: 10.1016/j.clp.2005.04.005.
Postpartum endometritis or a surgical site infection should be suspected if the patient develops an elevated oral temperature, 100.4 degrees F or higher, with an associated tachycardia following the procedure. A tachycardia paralleling the temperature strongly indicates infection. A thorough examination should be performed. Patients failing to respond to initial antibiotic therapy should be thoroughly evaluated for the possible emergence of a resistant bacterium or the development of an abscess or septic pelvic thrombosis. Antibiotic therapy should be continued until the patient is afebrile for 24 to 48 hours, the white blood cell count returns to normal, and the patient is tolerating oral liquids and solids, and ambulating without difficulty.
如果患者在手术后出现口腔温度升高至100.4华氏度或更高，并伴有心动过速，应怀疑患有产后子宫内膜炎或手术部位感染。与体温平行的心动过速强烈提示感染。应进行全面检查。对初始抗生素治疗无反应的患者应进行全面评估，以确定是否可能出现耐药菌、脓肿或盆腔败血症性血栓形成。抗生素治疗应持续至患者体温正常24至48小时、白细胞计数恢复正常、患者能够耐受口服液体和固体食物且能顺利行走。
