Curran J W, Rendtorff R C, Chandler R W, Wiser W L, Robinson H
Obstet Gynecol. 1975 Feb;45(2):195-8.
Data are presented from an investigation of the assocation of presenting complaints with gonococcal infection in females seeking primary care in an urban emergency room. Over 27% of patients in the study had cultures positive for Neisseria gonorrhoeae (GC). The GC positivity rates which were significantly higher than expected were found in patients with abnormal uterine bleeding, urinary tract symptoms, and cervicitis, as well as acute PID. Clinical findings suggest an etiologic role for the gonococcus in the pathogenesis of these disorders. Where the incidence of gonorrhea is high, new approaches in the managment of patients with these presenting complaints are necessary in order to prevent the more serious complications of gonorrhea and further spread of the disease.
本文数据来自一项关于城市急诊室寻求初级护理的女性患者中，就诊主诉与淋球菌感染相关性的调查。研究中超过27%的患者淋病奈瑟菌（GC）培养呈阳性。在子宫异常出血、尿路症状、宫颈炎以及急性盆腔炎患者中发现GC阳性率显著高于预期。临床发现提示淋球菌在这些疾病的发病机制中具有病因学作用。在淋病发病率较高的地区，为预防淋病更严重的并发症及疾病的进一步传播，有必要对有这些就诊主诉的患者采取新的管理方法。
