盆腔炎症（pelvic inflammatory disease）.docVIP

盆腔炎症（pelvic inflammatory disease） pelvic inflammatory disease Pelvic infection of female reproductive tract and its surrounding tissue inflammation, including endometritis, salpingitis, tubal ovarian abscess, pelvic peritonitis, inflammation can be confined to one area, but also in several parts, the most common is salpingitis, tubal ovarian inflammation, acute and chronic pelvic inflammatory disease two. (1) the natural defense function of the female reproductive tract: when the natural defense function is damaged or the organisms immune function drops, endocrine changes or exogenous pathogenic bacteria invade, all can lead to inflammation. (two) pathogens and pathogenic characteristics of pathogens: two sources, two kinds of pathogens can exist alone but usually mixed infection, endogenous pathogens in mixed aerobic and anaerobic infection and easy formation of pelvic abscess, septic thrombophlebitis, pus and fecal odor bubbles; exogenous pathogens. Neisseria gonorrhoeae, chlamydia, mycoplasma. (three) infection route: 1, along the genital tract mucous membrane bloody spread: along the cervical mucosa, endometrium, tubal mucosa spread to the ovary and the abdominal cavity, is the non pregnancy, the lung, puerperal pelvic infection main route of infection. (Neisseria gonorrhoeae, chlamydia, Staphylococcus) 2, spread via the lymphatic system: the vulva vagina cervix and uterine body wounds lymphatic invasion of other parts of pelvic connective tissue and internal genitalia, is puerperal infection after abortion infection and IUD main way infection after (Streptococcus, Escherichia coli type bacteria, anaerobic bacteria spread much along the way) 3, circulation of blood circulation: pathogens invade other systems of the body first, then infect the genitals with blood circulation, which is the main route of TB bacillus. 4, direct spread: abdominal cavity infection of other organs, directly spread to the internal genital organs, such as appendicitis can cause right sal