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Представляет собой отграниченную полость, заполненную гноем, окружённую пиогенной капсулой (оболочкой, формирующейся в ответ на инфекцию) [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). Чаще всего возникает в ягодичной области — зоне, где подкожная клетчатка хорошо развита, что создаёт условия для размножения бактерий [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n\n**Классификация**: по глубине поражения (подкожные, внутримышечные), стадии развития (ранний инфильтрат → гнойное расплавление), локализации (ягодицы, бедро, реже — плечо) [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). Наиболее опасны глубокие формы — они дольше остаются незамеченными, увеличивая риск осложнений [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/).\n\n\n\n## Причины\nОсновная причина — **нарушение правил асептики** при инъекции [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). Но есть и другие факторы [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/): \n* **Инфицирование тканей** — бактерии (чаще стафилококки, стрептококки) попадают в место инъекции из-за недостаточной обработки кожи [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n* **Неправильная техника введения** — игла недостаточной длины при внутримышечной инъекции приводит к скоплению препарата в подкожной клетчатке, провоцируя воспаление [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n* **Особенности организма** — у людей с ослабленным иммунитетом даже незначительная бактериальная нагрузка может вызвать нагноение [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/).\n\n## Симптомы\nКлиническая картина развивается постепенно [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/): \n* **Первые 1–3 дня** — уплотнение в месте укола, покраснение кожи, локальное повышение температуры, ноющая боль, усиливающаяся при надавливании [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n* **Через 3–5 дней** — формирование гнойного очага (кожа становится багрово-синюшной), флюктуация (ощущение колебания жидкости при пальпации), возможна лихорадка (до 38–39°C) [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n\nЕсли постинъекционный абсцесс расположен глубоко, внешние признаки могут быть менее выражены [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/).\n\n## Диагностика\nВрач ставит диагноз на основе осмотра, УЗИ мягких тканей и общего анализа крови [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/).\n\n## Лечение\n**Тактика лечения зависит от стадии воспалительного процесса** [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/): \n* **На стадии инфильтрата** — консервативная терапия: физиотерапия (УВЧ, магнитотерапия) — уменьшает отёк, ускоряет рассасывание, антибактериальная терапия — системные препараты подбирают с учётом чувствительности микрофлоры, местные компрессы — спиртовые или с противовоспалительными мазями [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). \n* **При сформировавшемся гнойнике** — хирургическое вмешательство [2](https://BestClinic.ru/diseases/postinektsionnyy-abstsess/). 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