资源描述：
《妇科笔记整理》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、Chapterl2PostpartumComplications产褥期并发症（李红梅）PuerperalInfection产褥感染1.Puerperalmorbidity产褥病率（名解）:TomonitorTqid,T＞38°Cor38°CX2fr.24Hto10daysaftergivingbirth.分娩24小时以后的10日内，每日用口表测体温4次，间隔时间4小时，有2次达到或者超过＞38°C产褥病率常由产褥感染引起，但也由生殖道以外的其他感染，如reproductiveinfection,metr
2、itisT宫炎,mastitis乳腺炎,UTI,woundinfection,pelvicthrombophlebitis血栓静脉炎,2.严:褥感染病因etiology：generalfactors,laborrelatedfactors,operativefactors,pathogensUTI泌床系统感染1.感染病因etiology：urinarycatheter,anatomyoftheurethra,urineretention,lowimmunity,引起感染法病原体绝大部分是格兰阴性杆菌，以
3、大肠杆菌多见2.Nursingintervention：specimencollection；education:PU,water；medicationontime；acidificationoftheurine；perinealhygienePostpartumHemorrhage产后出血1.定义：bloodloss＞500mlswithin24hours2.cause：uterineatonyT宫收缩发力;placentafactors胎盘因素;laceration软产道损伤；DIC3.Nursin
4、gintervention:predisposingfactors;uterinefundus,vitalsigns;hemostasis;anti-shock;InfectionpreventionChapterl3InfectiousDiseasesofFemaleReproductiveSystem女性生殖系统炎症（，红梅）1.naturaldefenses（多选题）labiaasguard大阴唇,vaginalorificeclosed阴道口闭合,acidity酸性,cervixcoveredb
5、ysquamousepithelium宫颈鳞状上皮,grumefromendocervix子宫内膜脱落,menses月经,ciliatedcells纤毛细胞2.pathogens（多选题）Bacteria细菌，Protozoa原虫，Fungus真菌，Virus病毒，Spirochete螺旋体,Chlamydia衣原体,Mycoplasmas支原体3.spreadmodes（多选题）lymphsystem,ascenddiffuse上行蔓延，bloodstream,directdiffusion4.tri
6、chomonalvaginitis滴虫阴道炎：用酸性冲洗液malodorous,frothydischarge泡沫状分泌物,strawberry草莓样宫颈，metronidazolecandidialvaginitis夕卜阴阴道假丝酵母菌病:用碱性冲洗液pruritus,whitecurd-likedischarge瘙痒，乳凝或豆腐渣样chapterl4dysfunctionalmenstruatuion月经失调（邢翠）sectionlDysfunctionalUterineBleeding功能失调性子
7、宫出血L定头记住Dysfunctionaluterinebleeding（DUB）isirregularbleedingfromtheuterus.Menorrhagia（月经过多）:Prolonged（＞7days）orexcessive（＞80ml）bleedingthatoccursatregularintervals.周期规则,但经期延长（＞7H）或经量过多（＞80ml）Polymenorrhea（月经频发）:Frequent,regularperiodsthatoccurlessthaneve
8、ry21days月经频发，周期缩短Metrorrhagia（了宫不规贝!J出血）:Bleedingofvariousamountsthatoccursatirregularbutfrequentintervals周期不规则,经期可延长而经量正常Menometrorrhagia（子宫不规贝ij过多出血）:Frequent,excessive,andprolongedbleedingthatoccursatirregularintervals周
