Pelvic inflammatory disease is mostly caused by pathogens invading genitals through genital tract or menstrual endometrial exfoliation surface and wounds of genital surgery. Pathogenic bacteria can enter vagina from anus and vulva, go up along mucosa, pass through cervix and endometrium, and spread to ovary and abdominal cavity along fallopian tube. It can also be transmitted to reproductive organs through blood; Or spread to pelvic cavity through lymphatic system; Infections of adjacent organs, such as appendicitis and colonic diverticulitis, can spread directly to fallopian tubes and uterus.
Pelvic inflammatory disease can be divided into acute and chronic. Patients with acute pelvic inflammatory disease have an acute onset and are seriously ill. All patients have varying degrees of chills, fever and mild abdominal pain. Sometimes the urinary tract will be stimulated or oppressed, such as dysuria, frequent urination, dysuria and so on. Chronic pelvic inflammatory disease is often an acute pelvic inflammatory disease that has not been completely treated. The condition of chronic pelvic inflammatory disease is often stubborn, often forming adhesive masses of fallopian tubes and ovaries. Adhesion with the surrounding, anti-inflammatory drugs are not easy to enter, so it is not easy to completely cure.
Menstrual changes such as increased menstrual flow, frequent menstruation and prolonged menstruation often lead to secondary infertility.
The treatment of acute pelvic inflammatory disease must be timely and thorough (sufficient), and it is best to adopt comprehensive treatment. In case of acute attack, you should stay in bed and take a semi-recumbent position (limit inflammation to the lower part of pelvic cavity to reduce the chance of diffusion).
In order to promote inflammation only in the early stage of acute inflammation, local cold compress is used to relieve pain first, and then hot compress is used to promote inflammation absorption. Chronic pelvic inflammatory disease is often treated with traditional Chinese medicine combined with physical therapy, TDP therapy, external irradiation or acupuncture.
Surgery is limited to patients with chronic pelvic inflammatory disease with obvious mass, such as hydrosalpinx, or patients with tubal ovarian mass that cannot be ruled out, or patients with severe dysmenorrhea, abdominal pain, menstrual disorder and other symptoms can be treated surgically. The scope of operation is based on the principle of complete cure to avoid recurrence of residual lesions. Therefore, for patients over 40 years old, it is appropriate to remove the whole uterus and double appendages. Generally, during the operation, ovarian tissue should be properly preserved according to the scope of the lesion to maintain the postoperative estrogen level of patients. Antibiotics were used before and after operation to prevent the spread of inflammation.
This disease is equivalent to leukorrhagia, dysmenorrhea and syndrome in traditional Chinese medicine, and sometimes abdominal pain is the main symptom. The pathogen is toxic and pathogenic infection, and the cell is hot, which affects the operation of qi and blood, causing qi and blood stasis and damage to chong and ren. Common clinical syndromes are:
1. Heat toxicity type: high fever, chills, headache, slight abdominal pain, refusal to press, purulent discharge, foul smell, Huang Chi in urine, constipation, yellow tongue coating, slippery or thin pulse.
2. Damp-heat type: low-grade abdominal pain, burning sensation, dry mouth and no desire to drink, thick leucorrhea, or red and yellow tongue, yellow and greasy fur, and slippery pulse.
3. Damp-heat and blood stasis type: the symptoms are abdominal distension and pain, refusal to press, bitter mouth and dry mouth, yellow and thick leucorrhea, turbid urine, constipation, dark red tongue, yellow or white fur and rapid pulse.
4. Stagnation of blood stasis: the lower fat is dull and painful, the menstruation is not feasible, the amount is large, the tongue is purple and dark, there are ecchymosis and petechia, the coating is thin, and the pulse is heavy and astringent.
5. Deficiency-cold type of chong-ren: abdominal cold pain, warm pressure, leucorrhea, cold limbs, pale tongue, thin and white fur, and deep and thin pulse.
First, optional western medicine.
(1) Acute pelvic inflammatory disease
1. Antibiotics: It is advisable to use drugs in combination, and it is best to choose drugs according to bacterial culture and drug sensitivity test.
(1) penicillin g: 2.4 million100000 units per day, intravenous drip; After the condition improved, it was reduced to 80 1, 6.5438+0.6 million units/day, and intramuscular injection was carried out in stages.
(2) Erythromycin: 1- 1.5g once a day, intravenous drip, plus 0.5g kanamycin twice a day, intramuscular injection.
(3) Gentamicin: 654.38+0.6 million units per day, divided into 2-3 intravenous drip or intramuscular injection.
(4) Lincomycin: 0.3-0.6g each time, intramuscular injection three times a day.
(5) Clindamycin: 0.6g each time, intravenous drip, every 6 hours 1 time. After the body temperature drops to normal, take orally, 0.3g each time, every 6 hours 1 time.
2. Give adequate nutrition and fluid intake to correct electrolyte disorder and acid-base imbalance.
(2) Chronic pelvic inflammatory disease
While using antibiotics, intramuscular injection of α chymotrypsin 5mg or hyaluronic acid 1500 unit, 1 time, every other day 1 time, and 5 5- 10/time is 1 course of treatment. You can also use antibiotics and prednisone at the same time, prednisone 5mg, orally, three times a day, and gradually reduce the amount after stopping the drug.
Second, optional Chinese patent medicine.
1. Thermotoxic type:
(1) Chrysanthemum indicum. External use, each time 1 capsule, anal administration, 1-2 times a day.
(2) Qingkailing injection: intramuscular injection, 2-4m 1 for adults, 1-2 times a day. Intravenous drip, 20-40ml daily, diluted in 200ml 10% glucose injection or100ml 1% sodium chloride injection.
(3) Gynecological Qianjin tablets: 4 tablets each time, twice a day, taken with warm water.
2. Damp-heat type:
(1) Jinji Capsule: 4 capsules each time, 3 times a day, taken with warm water.
(2) Sanmiao Pill: 6g each time, twice a day, taken with warm boiled water.
(3) Daige Powder: 6g each time, 1-2 times a day, decocted in cloth or taken with warm water.
(4) Gynecological band-stopping tablets: 4-6 tablets each time, 2-3 times a day, taken with warm water after meals.
(5) Longdan Xiegan Pills (tablets): Adults take 3-6g water pills three times a day with warm boiled water. Take 4-6 tablets each time and three times a day with warm water.
(6) Leucorrhea pills: each time 1 pill, twice a day, taken with warm boiled water.
3. Damp-heat abdominal depression type:
(1) Fu Bao granules: 20g each time, twice a day, with boiled water.
(2) Fule Granule: every time 128, twice a day, taken with boiling water.
(3) Fuyankangfu tablets: 6 tablets each time, 3 times a day, taken with warm water.
(4) Huahong Granules: each time 1 bag, 2-3 times a day, taken with boiling water.
4. Blood stasis type:
(1) Women's Tongjing Pill: 9g each time, twice a day, taken with warm water.
(2) Guizhi Fuling Pill: each time 1 pill, three times a day, with warm water.
(3) Fuke Huisheng Pill: each time 1 pill, twice a day, with yellow wine or warm water.
(4) Shaofu Zhuyu Pills: each time 1 capsule, 2-3 times a day, with warm yellow wine or warm boiled water.
(5) Tiaojing Mu Yi Pills: 20-30 pills each time, three times a day, taken with yellow wine or warm water.
(6) Huoxue Zhitong Powder: 65438+ 0.5-3g each time, twice a day, taken with warm water.
5. Chong Ren deficiency cold type:
(1) shierwen pills: 6-9g each time, twice a day, with warm boiled water.
(2) Wenjing Pills: each time 1 capsule, twice a day, taken with warm boiled water.
(3) Stop taking pills: 3-6g each time, 2-3 times a day, and take them with warm water.
(4) Gynecological Leucorrhea Pills: 3g each time, 3 times a day, taken with warm water.
(5) Tiaojing leucorrhea pill: 9- 15g each time, twice a day, taken with warm water.
(6) Tiaojing Zhidai Pill: 9g each time, three times a day, taken with warm water.
(7) Hannah Quinlivan Pills: Take 15 capsules each time, twice a day, with warm water.
(8) Funing Pills: each time 1 capsule, three times a day, with warm boiled water.
Zhang Zongfang, chief physician of gynecology of traditional Chinese medicine in China-Japan Friendship Hospital, has been engaged in gynecology of integrated traditional Chinese and western medicine for 33 years. He is good at diagnosis and treatment of various common and difficult gynecological diseases in combination of traditional Chinese and western medicine, and has written many academic papers and works.
Zhao Hong, deputy chief physician, director of gynecology of traditional Chinese medicine in China-Japan Friendship Hospital, has been engaged in gynecology of traditional Chinese medicine for 19 years and is good at treating female infertility. Editor-in-chief has published many academic monographs such as "Great Achievements in Gynecology of Traditional Chinese Medicine" and published many papers.
Hello, audience friends! This is CCTV's "Healthy Road" live program. Today we are going to talk about female pelvic inflammatory disease.
Moderator: What is pelvic inflammatory disease?
Zhang Zongfang: Pelvic inflammatory disease mainly refers to the inflammation of female internal reproductive system. Female reproductive system can be divided into external genitalia and internal genitalia. As shown in the figure, the internal genitalia mainly includes uterus, fallopian tubes and ovaries. As can be seen from the sectional view, the uterus is located in the pelvic cavity, the bladder is in front and the rectum is in the back. There are two fallopian tubes on both sides of the uterus, and there are ovaries under the fallopian tubes. Pelvic inflammatory disease mainly refers to some inflammatory manifestations such as exudation, congestion and edema of uterus, fallopian tubes and ovaries, which are collectively called pelvic inflammatory disease. In addition, this picture is also a manifestation of chronic inflammation. Inflammation exudation leads to hydrosalpinx, tubal and ovarian adhesion.
Moderator: How many types are pelvic inflammatory disease generally divided into?
Zhang Zongfang: Pelvic inflammatory disease is generally divided into acute pelvic inflammatory disease and chronic pelvic inflammatory disease.
Zhao Hong: As the picture shows, the vaginal opening is often stimulated by urine and feces. If you don't pay attention to local cleaning, it is easy to cause vaginal inflammation. In addition, because women have leucorrhea and menstruation, leucorrhea and menstrual blood are very good culture bases for bacteria, and it is easy to cause vaginal and pelvic infections if they do not pay attention to hygiene. Vagina is also an organ of sexual intercourse, and unclean sexual intercourse will directly bring pathogens into vagina and cause inflammation.
Moderator: What are the symptoms of pelvic inflammatory disease?
Zhang Zongfang: The clinical manifestations of acute pelvic inflammatory disease and chronic pelvic inflammatory disease are different. Generally speaking, the clinical manifestations of acute pelvic inflammatory disease are mainly lower abdominal pain or fever (high fever or low fever), and there will be some purulent secretions. Patients with chronic pelvic inflammatory disease mainly show dull pain in the lower abdomen or a feeling of falling, always feeling uncomfortable, and at the same time feeling pain in the lumbosacral region. These symptoms are often aggravated after fatigue, more activities, before and after menstruation and after sexual life, and sometimes accompanied by irregular menstruation or infertility.
Moderator: How to distinguish the pain symptoms of pelvic inflammatory disease from other diseases (lower abdomen)?
Zhang Zongfang: You can pass gynecological examination, especially Shuanghe Town examination or B-ultrasound examination. Generally, acute pelvic inflammatory disease can be found in vagina and cervical hyperemia, and there will be some purulent secretions, uterine tenderness and thickening of fallopian tubes and accessories. Similar cases can be diagnosed.
Moderator: What is the cause of pelvic inflammatory disease?
Zhao Hong: There are many reasons for pelvic inflammatory disease. Because of the different living environment or living conditions and education level, rural women and urban women have different causes of pelvic inflammatory disease. Rural women's awareness of self-care is weak, and they don't pay much attention to personal hygiene. They don't get into the habit of cleaning vulva and changing underwear every day, so it is difficult to keep vulva very clean. In addition, both husband and wife of rural women do not have the habit of cleaning vulva before sexual life, and it is easy to cause pelvic inflammatory disease during menstruation, and menstrual hygiene products have not been strictly disinfected. There are also many rural women who give birth at home, and the instruments used for delivery have not been strictly disinfected. At this time, bacteria are very easy to enter and cause pelvic inflammatory disease.
Zhang Zongfang: The incidence of pelvic inflammatory disease among urban women is also very high. Although urban women often clean their vulva, the cleaning method is not very scientific. Many people clean their vagina by hand or douche. This method is very unscientific. Vagina is self-cleaning and can prevent some bacteria from entering. Lavatory is easy to bring in bacteria, which will destroy the self-cleaning of vagina and make bacteria easy to breed. In addition, the pressure of washing will make vaginal bacteria retrograde, causing pelvic inflammatory disease. Urban women generally use sanitary napkins or built-in tampons during menstruation, and the choice of menstrual hygiene products is also very important. In addition, multiple abortions will also increase the risk of pelvic inflammatory disease.
Moderator: What is the relationship between ectopic pregnancy, infertility and pelvic inflammatory disease?
Zhao Hong: They have a very close relationship. Although there are many reasons for ectopic pregnancy, salpingitis is the main cause. After salpingitis, the lumen of fallopian tube will be narrowed and deformed, and fertilized eggs will not pass smoothly. A fertilized egg can only be planted and developed in the fallopian tube. To a certain extent, it will cause tubal rupture, massive bleeding, and even endanger the life of patients. Therefore, ectopic pregnancy is a gynecological emergency and should be highly valued.
Zhang Zongfang: Infertility is also caused by tubal inflammation. Inflammation of fallopian tube is caused by exudation, edema and adhesion of fallopian tube, which can lead to complete blockage of fallopian tube lumen. After blockage, sperm and eggs can't meet, so they can't get pregnant. In addition, endometrial inflammation can also cause infertility, and the exudation of endometrial inflammation will devour sperm, reduce sperm survival rate and cause infertility. A large part of infertile patients in clinic are caused by pelvic inflammatory disease.
Moderator: What are the treatments for pelvic inflammatory disease?
Zhang Zongfang: The treatment of acute pelvic inflammatory disease and chronic pelvic inflammatory disease is different. For the treatment of patients with acute pelvic inflammatory disease, it is mainly to rest more. If you can be hospitalized, you should also pay attention to eating more high-protein and nutritious food. In addition, you should pay attention to the balance of electrolyte and replenish water. The most important thing is to use some anti-inflammatory antibiotics. For the use of antibiotics, bacterial culture and drug sensitivity test of vaginal secretions should be done well before using antibiotics, and the most suitable drugs should be selected through drug sensitivity test. It should be noted that the dose must be large enough and the time must be long enough. Clinically, some patients will stop taking drugs after a few days, which may easily lead to recurrence or even chronic pelvic inflammatory disease, so the treatment must be thorough. In addition, Chinese medicine can choose the treatment methods of clearing away heat and toxic materials, resolving phlegm, promoting blood circulation and removing blood stasis according to the symptoms of patients, and it also has good curative effect with western medicine antibiotic treatment.
Zhao Hong: Because chronic pelvic inflammatory disease has a long course of treatment, it is more complicated to treat than acute pelvic inflammatory disease. Usually, comprehensive therapy of traditional Chinese medicine is used, including oral administration of traditional Chinese medicine, intravenous drip of traditional Chinese medicine, enema of traditional Chinese medicine, acupuncture, hot compress, iontophoresis of traditional Chinese medicine, etc. Let's look at the process of hot compress and iontophoresis. Traditional Chinese medicine enema is to put the traditional Chinese medicine for promoting blood circulation and removing blood stasis into a cloth bag, steam it in a steamer and put it into the abdomen of the patient. Through warming and drug penetration, it can achieve the functions of diminishing inflammation and eliminating pelvic adhesion. Iontophoresis of traditional Chinese medicine is to concentrate traditional Chinese medicine, and introduce traditional Chinese medicine ions into the affected part through iontophoresis instrument, and at the same time, it can release pelvic adhesion and eliminate pelvic inflammatory disease. Simple oral administration of traditional Chinese medicine is not as effective as comprehensive treatment. Generally speaking, iontophoresis of traditional Chinese medicine takes about 20 minutes, and hot compress treatment of traditional Chinese medicine can last about 2 hours. Usually a course of treatment takes three months, and menstruation is not treated until it is clean.
Moderator: How to prevent pelvic inflammatory disease?
Zhang Zongfang: First of all, we should pay special attention to the cleanliness of vulva. Clean vulva and change underwear every day. We advocate the use of warm boiled water as cleaning solution, because it has been disinfected after boiling. In addition, we should pay attention to the choice of cleaning appliances. Every woman should have a special basin for washing her lower body to prevent other infections from entering the vagina. It is usually enough to wash your lower body once a day, and it is best to wash it once after defecation. In addition, to choose good quality sanitary napkins, men and women should clean their vulva before having sex.
Moderator: Ms. Liu from Beijing, 22 years old. Can common pads cause pelvic inflammatory disease or other gynecological diseases? Can unmarried girls get pelvic inflammatory disease?
Zhang Zongfang: If the pads are made by regular manufacturers, after strict disinfection, ordinary pads can also be used. If leucorrhea is not much, pay attention to cleaning vulva and changing underwear frequently every day. There is no need to use pads every day. Unmarried girls may also get pelvic inflammatory disease, which is often caused by infection of adjacent organs in the pelvic cavity, such as appendicitis.
Moderator: Ms. Hao, 30, from Shenzhen, has been suffering from pelvic inflammatory disease for more than two months. She has been taking medication, but the effect is not good. Menstruation lasts for a long time, sometimes almost a month. The interval between two menstrual periods is shortened, and there is a dull pain in the right side of the stomach. Can this situation be treated with traditional Chinese medicine?
Zhao Hong: It may be better to treat this situation with Chinese medicine, because it takes a long time. However, if the symptoms are not improved all the time, we suggest that the patient should be cultured with bacteria and mycoplasma and chlamydia. If the culture has no bacterial growth or mycoplasma and chlamydia are negative, it can also be treated with traditional Chinese medicine.
Moderator: Ms. Liu from Hebei, 42 years old. I have been suffering from pelvic inflammatory disease for 4 years. I have also used various methods of Chinese and western medicine, but I still feel dull pain and discomfort in my waist and abdomen. Can I have an operation?
Zhang Zongfang: If patients with chronic pelvic inflammatory disease have hydrosalpinx or severe adhesion, surgery can also be considered, but the effect of most patients will not be very good, because surgery can relieve adhesion but the wound surface can form adhesion during operation, so the effect is not very ideal. We advocate comprehensive treatment with traditional Chinese medicine and various methods.
Moderator: Ms. Xia from Xuzhou, 35 years old. I have abdominal pain for many years, and my menstruation is always heavier than usual. The doctor said that I had pelvic inflammatory disease, but I heard that there is a terrible disease called endometriosis, which is characterized by severe dysmenorrhea. Will I get this disease?
Zhao Hong: Endometriosis is indeed related to menstruation. When menstruation comes, the pain is very severe, but endometriosis is characterized by getting worse every month. Pelvic inflammation is not obvious. In addition, gynecological examination and B-ultrasound can distinguish these two diseases.
Moderator: Ms. He from Shandong, 28 years old. I want to wear a ring less than a year after giving birth. Can wearing a ring lead to pelvic inflammatory disease?
Zhang Zongfang: Sheung Wan is a very important means of family planning in China. Generally speaking, if you master certain indications, wearing a ring usually does not cause inflammation. However, in some cases, the upper ring can also be an inducement of inflammation, such as vaginal inflammation and cervical inflammation before or mycoplasma or chlamydia before, which may cause inflammation. In addition, there are tail wires on the upper ring. If infected with inflammation, bacteria and chlamydia can enter the uterine cavity and even the fallopian tube along the tail silk, which will also lead to inflammation.
Moderator: Ms. Li from Henan, 32 years old. I'm usually busy at work. Is there any Chinese patent medicine for treating chronic pelvic inflammatory disease? Can I buy it myself? How to choose?
Zhao Hong: There are many Chinese patent medicines. Chinese medicine pays attention to syndrome differentiation and treatment, and should be used under the guidance of doctors.
Causes of pelvic inflammatory disease
1, lack of good hygiene habits
2, postpartum or post-abortion infection
3, gynecological surgery infection
4, do not pay attention to menstrual hygiene
5. Diffusion of inflammation in neighboring organs
Inflammation of female pelvic reproductive organs (pelvic inflammatory disease), including metritis, tubal oophoritis, pelvic connective tissue inflammation and pelvic peritonitis, is one of the common diseases of women.
There are many pathogens causing pelvic inflammatory disease, including hemolytic streptococcus, anaerobic streptococcus, staphylococcus aureus and Escherichia coli.
Pelvic inflammatory disease is mostly caused by pathogens invading genitals through genital tract or menstrual endometrial exfoliation surface and wounds of genital surgery. Pathogenic bacteria can enter vagina from anus and vulva, go up along mucosa, pass through cervix and endometrium, and spread to ovary and abdominal cavity along fallopian tube. It can also be transmitted to reproductive organs through blood; Or spread to pelvic cavity through lymphatic system; Infections of adjacent organs, such as appendicitis and colonic diverticulitis, can spread directly to fallopian tubes and uterus.
Pelvic inflammatory disease can be divided into acute and chronic. Patients with acute pelvic inflammatory disease have an acute onset and are seriously ill. All patients have varying degrees of chills, fever and mild abdominal pain. Sometimes the urinary tract will be stimulated or oppressed, such as dysuria, frequent urination, dysuria and so on. Chronic pelvic inflammatory disease is often an acute pelvic inflammatory disease that has not been completely treated. The condition of chronic pelvic inflammatory disease is often stubborn, often forming adhesive masses of fallopian tubes and ovaries. Adhesion with the surrounding, anti-inflammatory drugs are not easy to enter, so it is not easy to completely cure.
Menstrual changes such as increased menstrual flow, frequent menstruation and prolonged menstruation often lead to secondary infertility.
The treatment of acute pelvic inflammatory disease must be timely and thorough (sufficient), and it is best to adopt comprehensive treatment. In case of acute attack, you should stay in bed and take a semi-recumbent position (limit inflammation to the lower part of pelvic cavity to reduce the chance of diffusion).
In order to promote inflammation only in the early stage of acute inflammation, local cold compress is used to relieve pain first, and then hot compress is used to promote inflammation absorption. Chronic pelvic inflammatory disease is often treated with traditional Chinese medicine combined with physical therapy, TDP therapy, external irradiation or acupuncture.
Surgery is limited to patients with chronic pelvic inflammatory disease with obvious mass, such as hydrosalpinx, or patients with tubal ovarian mass that cannot be ruled out, or patients with severe dysmenorrhea, abdominal pain, menstrual disorder and other symptoms can be treated surgically. The scope of operation is based on the principle of complete cure to avoid recurrence of residual lesions. Therefore, for patients over 40 years old, it is appropriate to remove the whole uterus and double appendages. Generally, during the operation, ovarian tissue should be properly preserved according to the scope of the lesion to maintain the postoperative estrogen level of patients. Antibiotics were used before and after operation to prevent the spread of inflammation.
This disease is equivalent to leukorrhagia, dysmenorrhea and syndrome in traditional Chinese medicine, and sometimes abdominal pain is the main symptom. The pathogen is toxic and pathogenic infection, and the cell is hot, which affects the operation of qi and blood, causing qi and blood stasis and damage to chong and ren. Common clinical syndromes are:
1. Heat toxicity type: high fever, chills, headache, slight abdominal pain, refusal to press, purulent discharge, foul smell, Huang Chi in urine, constipation, yellow tongue coating, slippery or thin pulse.
2. Damp-heat type: low-grade abdominal pain, burning sensation, dry mouth and no desire to drink, thick leucorrhea, or red and yellow tongue, yellow and greasy fur, and slippery pulse.
3. Damp-heat and blood stasis type: the symptoms are abdominal distension and pain, refusal to press, bitter mouth and dry mouth, yellow and thick leucorrhea, turbid urine, constipation, dark red tongue, yellow or white fur and rapid pulse.
4. Stagnation of blood stasis: the lower fat is dull and painful, the menstruation is not feasible, the amount is large, the tongue is purple and dark, there are ecchymosis and petechia, the coating is thin, and the pulse is heavy and astringent.
5. Deficiency-cold type of chong-ren: abdominal cold pain, warm pressure, leucorrhea, cold limbs, pale tongue, thin and white fur, and deep and thin pulse.
First, optional western medicine.
(1) Acute pelvic inflammatory disease
1. Antibiotics: It is advisable to use drugs in combination, and it is best to choose drugs according to bacterial culture and drug sensitivity test.
(1) penicillin g: 2.4 million100000 units per day, intravenous drip; After the condition improved, it was reduced to 80 1, 6.5438+0.6 million units/day, and intramuscular injection was carried out in stages.
(2) Erythromycin: 1- 1.5g once a day, intravenous drip, plus 0.5g kanamycin twice a day, intramuscular injection.
(3) Gentamicin: 654.38+0.6 million units per day, divided into 2-3 intravenous drip or intramuscular injection.
(4) Lincomycin: 0.3-0.6g each time, intramuscular injection three times a day.
(5) Clindamycin: 0.6g each time, intravenous drip, every 6 hours 1 time. After the body temperature drops to normal, take orally, 0.3g each time, every 6 hours 1 time.
2. Give adequate nutrition and fluid intake to correct electrolyte disorder and acid-base imbalance.
(2) Chronic pelvic inflammatory disease
While using antibiotics, intramuscular injection of α chymotrypsin 5mg or hyaluronic acid 1500 unit, 1 time, every other day 1 time, and 5 5- 10/time is 1 course of treatment. You can also use antibiotics and prednisone at the same time, prednisone 5mg, orally, three times a day, and gradually reduce the amount after stopping the drug.
Second, optional Chinese patent medicine.
1. Thermotoxic type:
(1) Chrysanthemum indicum. External use, each time 1 capsule, anal administration, 1-2 times a day.
(2) Qingkailing injection: intramuscular injection, 2-4m 1 for adults, 1-2 times a day. Intravenous drip, 20-40ml daily, diluted in 200ml 10% glucose injection or100ml 1% sodium chloride injection.
(3) Gynecological Qianjin tablets: 4 tablets each time, twice a day, taken with warm water.
2. Damp-heat type:
(1) Jinji Capsule: 4 capsules each time, 3 times a day, taken with warm water.
(2) Sanmiao Pill: 6g each time, twice a day, taken with warm boiled water.
(3) Daige Powder: 6g each time, 1-2 times a day, decocted in cloth or taken with warm water.
(4) Gynecological band-stopping tablets: 4-6 tablets each time, 2-3 times a day, taken with warm water after meals.
(5) Longdan Xiegan Pills (tablets): Adults take 3-6g water pills three times a day with warm boiled water. Take 4-6 tablets each time and three times a day with warm water.
(6) Leucorrhea pills: each time 1 pill, twice a day, taken with warm boiled water.
3. Damp-heat abdominal depression type:
(1) Fu Bao granules: 20g each time, twice a day, with boiled water.
(2) Fule Granule: every time 128, twice a day, taken with boiling water.
(3) Fuyankangfu tablets: 6 tablets each time, 3 times a day, taken with warm water.
(4) Huahong Granules: each time 1 bag, 2-3 times a day, taken with boiling water.
4. Blood stasis type:
(1) Women's Tongjing Pill: 9g each time, twice a day, taken with warm water.
(2) Guizhi Fuling Pill: each time 1 pill, three times a day, with warm water.
(3) Fuke Huisheng Pill: each time 1 pill, twice a day, with yellow wine or warm water.
(4) Shaofu Zhuyu Pills: each time 1 capsule, 2-3 times a day, with warm yellow wine or warm boiled water.
(5) Tiaojing Mu Yi Pills: 20-30 pills each time, three times a day, taken with yellow wine or warm water.
(6) Huoxue Zhitong Powder: 65438+ 0.5-3g each time, twice a day, taken with warm water.
5. Chong Ren deficiency cold type:
(1) shierwen pills: 6-9g each time, twice a day, with warm boiled water.
(2) Wenjing Pills: each time 1 capsule, twice a day, taken with warm boiled water.
(3) Stop taking pills: 3-6g each time, 2-3 times a day, and take them with warm water.
(4) Gynecological Leucorrhea Pills: 3g each time, 3 times a day, taken with warm water.
(5) Tiaojing leucorrhea pill: 9- 15g each time, twice a day, taken with warm water.
(6) Tiaojing Zhidai Pill: 9g each time, three times a day, taken with warm water.
(7) Hannah Quinlivan Pills: Take 15 capsules each time, twice a day, with warm water.
(8) Funing Pills: each time 1 capsule, three times a day, with warm boiled water.