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由于对广泛子宫感染,穿孔或腹膜炎伴发流产后肾衰手术处理的作用仍有争论,作者们把单给相应抗生素,补液或血和透析保守治疗14例病人和附加子宫切除或开腹术的7例病人的病程和最后结果进行了比较.本文资料取自1971年1月至1979年12月8年间21例,有感染性流产伴发子宫穿孔和急性肾衰者,年龄14～48岁(平均28.1岁).其中临床怀疑穿孔者12例,尸解检出者9例.这些病人终止妊娠方法有:扩刮术7例,药物堕胎1例,扩刮术加药物堕胎1例,用小棍者6例,小棍加药物堕胎2例,方法不明者4例.全部流产均由无执照的堕胎人员施
Because of the controversy over the role of surgical management of extensive infertility, perforation or peritonitis associated with post-abortion renal failure, the authors treated conservatively 14 patients with the appropriate antibiotic, rehydration or dialysis and additional hysterectomy or laparotomy 7 patients with the final course of disease and the results were compared.This information is taken from January 1971 to December 1979 eight cases of 21 cases of infective abortion with uterine perforation and acute renal failure, aged 14 to 48 years ( An average of 28.1 years of age), of which 12 were clinically suspected perforation, autopsy, 9 cases.The termination of pregnancy in these patients are: curettage in 7 cases, drug abortion in 1 case, curettage plus drug abortion in 1 case, with small Stick in 6 cases, small stick plus drug abortion in 2 cases, unidentified in 4. All abortion by unlicensed abortion facilities