Can acute pelvic inflammatory disease be cured?

Can acute pelvic inflammatory disease be cured?

Acute pelvic inflammation develops rapidly, so regular treatment must be carried out in a timely manner. Generally, very good treatment results can be achieved through good treatment. There are many treatment methods, the more common ones are drug treatment, supportive treatment and surgical treatment. Different treatment methods are adopted according to different symptoms. Attention should be paid to the integrity of the treatment to avoid recurrent attacks.

Treatment methods for acute pelvic inflammatory disease 1. Drug treatment: Most cases of acute pelvic inflammatory disease can be completely cured through active treatment. Since the pathogens of acute pelvic inflammatory disease are mostly mixed infections of aerobic bacteria, anaerobic bacteria and chlamydia, and aerobic bacteria and anaerobic bacteria are divided into Gram-negative and Gram-positive, combination therapy is often used in the selection of antibiotics.

Treatment of acute pelvic inflammatory disease 2. Supportive therapy: Bed rest. Semi-recumbent position is conducive to the accumulation of pus in the rectouterine pouch and the limitation of inflammation. Provide high-calorie, high-protein, high-vitamin liquid or semi-liquid food and replenish fluids. Use physical cooling when the fever is high. Try to avoid unnecessary gynecological examinations to prevent the spread of inflammation. If abdominal distension occurs, gastrointestinal decompression should be performed.

Treatment methods for acute pelvic inflammatory disease 3. Surgical treatment: Surgical treatment of acute pelvic inflammatory disease can be considered in the following three situations.

(1) When drug treatment is ineffective for acute pelvic inflammatory disease, surgical treatment can be considered: if a pelvic abscess is formed and the body temperature does not drop after 48-72 hours of drug treatment, the patient's poisoning symptoms worsen or the mass increases, surgery should be performed promptly to avoid abscess rupture.

(2) Tubal pyosalpinx or tubo-ovarian abscess: If the condition improves after drug treatment and the inflammation is controlled for several days, but the lump still persists but has become localized, surgical resection should be performed to avoid another acute attack in the future that still requires surgery.

(3) Abscess rupture: Sudden worsening of abdominal pain, chills, high fever, nausea, vomiting, abdominal distension, refusal to press the abdomen during examination, or signs of toxic shock should all be suspected to be abscess rupture, requiring immediate laparotomy.

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