妇产科之性传播疾病.ppt

妇产科学第19章性传播疾病【教学目标】了解淋病、梅毒及病毒和沙眼衣原体感染的生殖道炎症的发病原因、传播途径、临床表现及诊断治疗和预防措施。【教学重点】淋病、梅毒及病毒和沙眼衣原体感染的生殖道炎症的传播途径、临床表现及诊断治疗和预防措施。【教学难点】淋病、梅毒及病毒和沙眼衣原体感染的生殖道炎症的发病原因、传播途径。SexuallyTransmittedDiseasesBacterialinfections:ChlamydiatrachomatisNeisseriagonorrhoeae(GO)SyphilisViralinfections:HerpesgenitalisHumanpapillomavirus(HPV)Humanimmunodeficencyvirus(HIV)Chlamydiavaginitis[E]ChlamydiatrachomatisSalpingitis(Peritonitis,infertility,etopicpregnancy,prematurelabor,stillbirthpossible)[S]Oftensymptomfree,associatedwithotherpathogensofvaginitis(GO,vaginosis),Dysuria,pollakisuria,,possibleGOortrichomonasvaginitis[D]Intracelluarinclusion,immunologywithmonoclonalantibody.[T]Azithromycin1goral,singledoseDoxycycline100mgbidfor7d,Minocine?(GO)[E]i(i),,incubationtime:.[S]50-80%,cervix,Skne’sglands,Bartholin’sglands,,urethralburning,dysuria,bladderirritability,inflammationofurethra,cervix,Skene’sandBartholin’-,7~10XectopicpregnancyIftreatmentoftheacutephasedelayedorinadequate,GOviaascendingsurfacespreadingusuallytowardtheendorafterthenextmenstrualperiod:Condylomataacuminata.[D]Historyofexposure,microscopy,culture,PCRELISA..[T]Ceftriaxone1giv++.