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我院从1984年以来诊治38例女性淋病患者,全部病例均做宫颈内分泌物涂片,镜检可见细胞内有革兰氏阴性双球菌。现报道如下。临床资料年龄:19岁以下4人,19～29岁18人,30～49岁12人,50岁以上4人,其中最大年龄57岁。未婚5人,已婚33人。传染途径:承认冶游史14人,13人从患淋病配偶传染而来,另11人感染原因不明。病程:15天以内25人,15天以上13人,其中8人反复发作超过半年,已成为慢性。妇科检查:子宫颈Ⅰ度糜烂8人,Ⅱ度16人,Ⅲ度14人。合并滴虫2人。妊娠3人,其中1例孕7周时流产;1例早产,婴儿生后4天死亡;1例婴儿生后双眼出现淋菌性结膜炎。治疗:38例患者中,除6例因青霉素过敏用四环素加甲氧苄胺嘧啶(TMP)治疗外,均用青霉素G480万单位肌肉注射,其中20例静脉滴注。3～6天治疗后均获得较好的疗效。
Our hospital since 1984, diagnosis and treatment of 38 cases of gonorrhea patients, all cases of cervical secretions smear, microscopic examination of cells with Gram-negative bacteria. Report as follows now. Clinical data Age: 19 under 19, 18, 19 to 29 years old, 12 people aged 30 to 49, 4 people over the age of 50, of which the maximum age of 57 years. 5 unmarried, 33 married. Pathways of infection: 14 people were admitted to tour the mosque, 13 were infected with gonorrhea spouses, and the other 11 were infected for unknown reasons. Course of disease: 25 people within 15 days, 15 days more than 13 people, including 8 recurrent more than six months, has become chronic. Gynecological examination: Cervical Ⅰ degree erosion 8, Ⅱ degree 16 people, Ⅲ degree 14 people. Trichomoniasis combined 2 people. 3 were pregnant, of which 1 case of abortion at 7 weeks pregnant; 1 case of premature birth, 4 days after birth, infant death; 1 case of neonatal gonococcal conjunctivitis. Treatment: Of the 38 patients, 6 were injected intramuscularly with penicillin G480, except for 6 patients treated with tetracycline plus trimethoprim (TMP) due to penicillin allergy, of which 20 were intravenously infused. 3 to 6 days after treatment are better effect.