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近一年来,我院采用宫旁注射抗生素、配合灭滴灵防治慢性盆腔炎收到了一定疗效. 一、注射方法患者取膀胱截石位,外阴部用新洁尔灭棉球消毒,用阴道窥器暴露宫旁组织(局部组织增厚、变硬、触痛明显),然后用碘酒、酒精消毒后,用5ml注射器装入青霉素稀释液(20%浓度,80万单位)或庆大霉素(8万单位)、地塞米松(10mg),回抽无回血后注入,注射毕,注意观察有无渗血. 如确诊为厌氧菌性盆腔炎时(必要时做宫腔分泌物培养),可选用口服灭滴灵1周,200mg/次,每日3次,或静脉滴注灭滴灵800～1000mg/日,5～7天. 二、注射部位注射部位为疼痛明显一侧.如为双侧,可每日注射一侧,10天为1疗程,如是单侧,7天为1疗程.
In the past year, the hospital with uterine injection of antibiotics, with metronidazole prevention and treatment of chronic pelvic inflammatory disease received a certain effect .A injection method to take the bladder lithotomy position, genitals sterilized with benzalkonium cotton ball, exposed vaginal speculum Next to the tissue (local tissue thickening, hardening, tenderness significantly), and then with iodine, alcohol disinfection, using a 5ml syringe filled penicillin dilution (20% concentration, 800000 units) or gentamicin (80000 Unit), dexamethasone (10mg), back to the injection of blood without injection, the completion of injection, observe whether the bleeding.If the diagnosis of anaerobic pelvic inflammatory disease (uterine secretion when necessary), optional Oral metronidazole 1 week, 200mg / time, 3 times a day, or intravenous metronidazole 800 ~ 1000mg / day, 5 to 7 days. Second, the injection site injection site for pain obvious side. , One side can be injected daily, 10 days for a course of treatment, such as unilateral, 7 days for a course of treatment.