摘要
对我院儿科2019年10月诊断的1例新生儿化脓性腮腺炎的临床资料进行回顾性分析,并复习国内外相关文献。患儿为1例26 d男性新生儿,母乳喂养,患急性化脓性腮腺炎,发病前母亲有乳腺炎病史,存在典型临床表现,如发热、腮腺区肿胀,腮腺导管口流脓,白细胞增高,脓液培养提示金黄色葡萄球菌生长,经抗生素等治疗13 d痊愈。统计文献报道的18例病例,发病日龄为3~28 d,以男性患儿多见,单侧受累,最常见的病原菌为金黄色葡萄球菌,感染途径主要是逆行感染,患儿均有典型临床表现,经抗感染治疗,在脓肿形成后给予穿刺或切开引流治疗,均治愈出院,随访无复发。新生儿化脓性腮腺炎在临床上极少见,一旦确诊,应及时、有效的治疗,预后良好。
The clinical data of a neonate with suppurative parotitis diagnosed in pediatrics department in our hospital in October 2019 were retrospectively analyzed,and the related literatures at home and abroad were reviewed.A 26-day-old male neonate was breast-fed and suffered from acute suppurative parotitis.Before the onset of acute suppurative parotitis,his mother had a history of mastitis and presented with typical clinical manifestations,which were fever,swelling in the parotid gland area,purulence at the parotid duct orifice,increased white blood cells,and pus culture suggesting the growth of staphylococcus aureus.The child was cured after 13 day treatment with antibiotics,etc.According to the statistics of 18 cases reported in the literature,the onset age was 3-28 d,and the male children were the most common cases with unilateral involvement.The most common pathogen was staphylococcus aureus,whose infection route was mainly retrograde infection,and the neonates all had typical clinical manifestations.After anti infection treatment,puncture or incision drainage treatment was given after the abscess formation,all of them were cured and discharged,with no relapse during follow-up.Neonatal suppurative parotitis is rare in clinic.Once it is diagnosed,it should be treated promptly and effectively with a good prognosis.
作者
李涛
任雪云
游芳
李娟娟
LI Tao;REN Xueyun;YOU Fang;LI Juanjuan(Affiliated Hospital of Ji′ning Medical University,Ji′ning,272000,China)
出处
《中国现代医生》
2021年第3期168-171,共4页
China Modern Doctor
关键词
新生儿
化脓性腮腺炎
早期诊断
Neonate
Suppurative parotitis
Early diagnosis
