Western medicine treatment of infection after artificial abortion

Abortion is a last resort for women to take when their contraceptives fail. It can cause a variety of complications, such as abortion syndrome, uterine perforation, intraoperative bleeding, incomplete uterine aspiration, and postoperative infection. Among them, postoperative infection is more common, and the main treatment methods include the following:

1. Treatment of vaginal bleeding when it is not severe

The main manifestations of infection after abortion are fever, lower abdominal pain, turbid leucorrhea or irregular vaginal bleeding, and tenderness in the uterus or adnexal area during bimanual examination. The principle of treatment is to control the infection while removing the residue in the uterus as soon as possible. If the patient does not have much vaginal bleeding, broad-spectrum antibiotics can be used for treatment for 2 to 3 days, and then curettage can be performed after the infection is controlled.

2. Treatment when vaginal bleeding is heavy or infection is not controlled by antibacterial drugs

If the patient has a lot of vaginal bleeding or the infection is not controlled after taking a large amount of antibiotics, intravenous antibiotics and blood transfusion are required. At the same time, the patient's uterine cavity contents need to be clamped out with an oval forceps to control bleeding. At this time, do not use a curette to scrape the uterine cavity to prevent the spread of infection. Continue to use antibiotics after surgery, and perform a thorough curettage after the infection is controlled.

3. Treatment of septic shock

If the patient has infectious shock, active rescue measures should be taken, including oxygen supply, fluid resuscitation, rational use of vasoactive drugs, and application of glucocorticoids, etc.

In addition to the above situations, if the patient has severe infection or pelvic abscess formation, surgical drainage should be performed and the uterus should be removed if necessary.