产褥期感染-培训课件.ppt

Thank you ! * 产褥感染及护理  Main content 主要内容 概念 Concept 护理 nursing 治疗 Treatment 诱发因素 Contributor 临床表现及病理 Clinical manifestation and pathology Main content 概念 Concept 产褥期感染 是产褥期内生殖道受病原体侵袭而引起局部或全身的感染。产褥病率是指分娩结束后24小时以后的10日内，每日用口表测4次体温，每次间隔4小时，其中2次体温达到或超过38℃。产褥病率多由产褥期感染引起。也可以由其他系统感染而引起，例如呼吸道，泌尿道等 Puerperal infection is genital tract invasion by pathogen which leads to local or systemic infection during puerperium . Puerperal morbidity is defined as a temperature , daily use oral thermometer to measure four times, each time with an interval of 4 hours, greater than 38.0°C on any 2 of the first 10 days following delivery exclusive of the first 24 hours. Puerperal morbidity is much caused by puerperal infection which can also be caused by other systems ,like respiratory tract, urinary tract, etc. 标题 Main content 主要内容 概念 Concept 护理 nursing 治疗 Treatment 诱发因素 Contributor 临床表现及病理 Clinical manifestation and pathology Main content 机体免疫力 body immunity 细菌数量 bacteria quantity 细菌毒力 bacterial virulence 诱发因素Contributor 平衡失调 balance broken down Contributor 孕期贫血、营养不良、体质虚弱pregnancy anemia 、malnutrition、 physique weak 产科手术操作或慢性疾病obstetric operation or chronic disease 产前产后出血 prenatal postpartum hemorrhage 产程延长 prolonged labor 妊娠晚期性生活sexual intercourse during third trimester 胎膜早破 premature rupture of membrane 羊膜腔感染amniotic cavity infection 其他 诱发因素. 感染途径route of infection 正常孕产妇生殖道或其他部位寄生的病原体，多数并不致病，当机体抵抗力下降出现感染诱因时则可致病（条件致病菌） 由外界的病原体侵入生殖道而引起的感染常由被感染的衣物、用具各种手术诊疗器械等接触患者造成感染 内源性感染 Endogenous infection 外源性感染 Exogenous infection 感染途径route of infection Most of the causative agents that normally reside in the genital tract or other parts are not pathogenic. Only when the body resistance drop accompanying infection incentive can be pathogenic (conditional pathogenic bacteria) external pathogens get into genital tract often by infected clothing equipment various surgical diagnosis ，treatment equipment