Krafft W, König E M, Laube R
Klinik und Poliklinik für Gynäkologie und Geburtshilfe, Medizinischen Akademie Erfurt.
Zentralbl Gynakol. 1988;110(8):523-9.
Reporting 6 cases as examples the problems of symptoms and diagnosis of peritonitis in puerperium are discussed. Main source of the peritonitis is the ascending of pathogenic germs. The unknown bacteriologic vaginal milieu and the behaviour of the physician associated with caesarean section and premature rupture of the membranes play an important role for developing a peritonitis. Laparotomy with removing of uterus in time is the singlest method to rescue life threatening maternal situations.
以6例病例为实例,探讨产褥期腹膜炎的症状及诊断问题。腹膜炎的主要病因是病原菌上行感染。不明细菌学的阴道环境以及医生在剖宫产和胎膜早破方面的行为对产褥期腹膜炎的发生起着重要作用。及时行剖腹探查术并切除子宫是挽救危及生命的产妇情况的唯一方法。