前言目的探讨盆腔、腹腔脓肿的病原学和临床处理。方法对109例盆腔、腹腔脓肿临床资料进行回顾性研究,分析其病原学、抗菌药物选择、治疗时机及方式与预后的关系。结果109例盆腔、腹腔脓肿全部获得脓液培养加药敏,致病菌培养阳性75例,以大肠埃希菌感染为主,敏感药物以美罗培南及阿米卡星为主;手术治疗90例,术后复发4例,B超引导下盆腔脓肿经阴道穿刺引流9例,10例保守治疗痊愈,无死亡病例。结论盆腔、腹腔脓肿治疗应根据细菌培养结果及早选用敏感抗菌药物,及时手术切除原发病灶或脓腔充分引流可改善预后。
OBJECTIVEToexplorethepathogenesisofpelvicandperitonealabscessesandtheirclinical（management）.METHODSClinicaldataof109patientswithpelvicandperitonealabscessesbetween1999and2005wereretrospectively（evaluated）.Theconnectionoftheirpathogenesis,antibioticschoice,andtreatmenttypeswith（prognoses）wasanalyzed.RESULTSPusfromallpatientswascollectedandsenttodogermcultureandantibioticsusceptibilitytesting.Seventyfivecaseswerewithpositivegermculture.Themostgerm...
