Milasinović L, Cetković N, Radeka G, Bingold B, Petrović D, Orelj M
Klinika za ginekologiju i akuserstvo, Medicinski fakultet, Novi Sad.
Med Pregl. 1996;49(5-6):221-4.
Even today infection is the most important cause of morbidity and mortality after cesarean section. The aim of this paper is to point to the significance of hysterectomy in treatment of puerperal infection in the contemporary obstetrics. During a 15- year period (1981 - 1995) 85231 deliveries were performed at the Clinic for Gynecology and Obstetrics in Novi Sad (Yugoslavia). There were 8609 (10.10%) cesarean sections. Hysterectomy was performed in 16 cases (0.186%) of women undergoing cesarean section due to dehiscence of uterine suture, endometritis, diffuse peritonitis or sepsis. Infection during delivery was diagnosed in 3 (18.75%) cases, the delivery itself began by amnion rupture in 5 (31.25%) cases, it lasted more than 12 hours in 6 (37.50%) cases. Elective cesarean section was performed in 3 (18.75%) cases, cesarean section during delivery in 13 (81.25%) and iterative cesarean section in 5 (31.25%) cases. Total hysterectomy was performed in 9 (56.25%) cases and subtotal in 7 (43.75%) cases. Postoperative treatment by antibiotics was carried out in all cases. There were postoperative complications after hysterectomy in 7 (43.75%) cases. According to results of microbiologic analyses in 7 (43.75%) cases one cause was determined, while in 9 (56.25%) cases two or more causes were determined. Gram-negative-bacteria were the most common cause (68.75%).
即便在今天，感染仍是剖宫产术后发病和死亡的最重要原因。本文旨在指出子宫切除术在当代产科治疗产褥感染中的重要性。在15年期间（1981年至1995年），南斯拉夫诺维萨德的妇产科诊所共进行了85231例分娩。其中剖宫产8609例（10.10%）。因子宫缝线裂开、子宫内膜炎、弥漫性腹膜炎或败血症而行剖宫产的16例（0.186%）妇女接受了子宫切除术。分娩期间感染确诊3例（18.75%），分娩以胎膜破裂开始的5例（31.25%），持续超过12小时的6例（3%）。择期剖宫产3例（18.75%），分娩时剖宫产13例（81.25%），再次剖宫产5例（31.25%）。9例（56.25%）行全子宫切除术，7例（43.75%）行次全子宫切除术。所有病例均术后使用抗生素治疗。子宫切除术后7例（43.75%）出现术后并发症。根据微生物分析结果，7例（43.75%）确定了一个病因，9例（56.25%）确定了两个或更多病因。革兰氏阴性菌是最常见的病因（68.75%）。 50%）。择期剖宫产3例（18.75%），分娩时剖宫产13例（81.25%），再次剖宫产5例（31.25%）。9例（56.25%）行全子宫切除术，7例（43.75%）行次全子宫切除术。所有病例均术后使用抗生素治疗。子宫切除术后7例（43.75%）出现术后并发症。根据微生物分析结果，7例（43.75%）确定了一个病因，9例（56.25%）确定了两个或更多病因。革兰氏阴性菌是最常见的病因（68.75%）。 50%）。择期剖宫产3例（18.75%），分娩时剖宫产13例（81.25%），再次剖宫产5例（31.25%）。9例（56.25%）行全子宫切除术，7例（43.75%）行次全子宫切除术。所有病例均术后使用抗生素治疗。子宫切除术后7例（43.75%）出现术后并发症。根据微生物分析结果，7例（43.75%）确定了一个病因，9例（56.25%）确定了两个或更多病因。革兰氏阴性菌是最常见的病因（68.75%）。
你提供的原文中最后一句Gram-negative-bacteria were the most common cause (68.75%).出现了重复表述，我按照原文内容进行了翻译，你可检查下是否有问题。
Zotero 插件