CAJ | 학술논문

目的探讨流行性腮腺炎的流行特征与临床特点.方法回顾性分析198例流行性腮腺炎的流行特征、临床表现及治疗情况.结果发病年龄以15岁以下为主,男多于女,人群分布以学生为主体,冬、春、夏季明显.临床特点,初期多有相应的腮腺肿大,部分病例可伴有发热、恶心、呕吐、胸闷、心悸,或表现为头痛、头晕、肌无力、嗜睡等神经系统并发症表现.实验室检查,白细胞(WBC)大多正常范围；血、尿淀粉酶多明显增高；少数病例心肌酶谱、肝功能出现异常.胸部X线、心电图多正常.脑电图异常4例.所有病例经相应的利巴韦林抗病毒治疗,出现并发症的给予相应的对症处理,均痊愈.结论流行病学上呈局部流行,季节性差异明显,人群以学生为主体.常见的并发症有脑炎、性腺炎、心肌炎、肝炎等,应提倡在学生人群中接种流行性腮腺炎疫苗.
목적 탐토류행성시선염적류행특정여림상특점.방법 회고성분석198례류행성시선염적류행특정、림상표현급치료정황.결과 발병년령이15세이하위주,남다우녀,인군분포이학생위주체,동、춘、하계명현.림상특점,초기다유상응적시선종대,부분병례가반유발열、악심、구토、흉민、심계,혹표현위두통、두훈、기무력、기수등신경계통병발증표현.실험실검사,백세포(WBC)대다정상범위；혈、뇨정분매다명현증고；소수병례심기매보、간공능출현이상.흉부X선、심전도다정상.뇌전도이상4례.소유병례경상응적리파위림항병독치료,출현병발증적급여상응적대증처리,균전유.결론 류행병학상정국부류행,계절성차이명현,인군이학생위주체.상견적병발증유뇌염、성선염、심기염、간염등,응제창재학생인군중접충류행성시선염역묘.
Objective To investigate the epidemiological characteristics and clinical features of mumps.Methods The epidemiological characteristics,clinical manifestations and treatment of 198 cases with mumps were retrospectively analyzed.Results The onset age of mumps was less than 15 years old,men more than women,the crowd distribution was mainly the students,especially in winter,spring and summer.The clinical characteristics were as following:corresponding parotid gland enlargement occurred at the onset of mumps,some of the patients may be accompany by fever,nausea,vomiting,chest tightness,palpitation,or had the performance of the headache,dizziness,muscle weakness,sleepiness and nervous system complications.The results of laboratory tests showed that white blood cell(WBC) of most patients was in the normal range; blood,urine amylase obviously increased; a few cases with abnormal myocardial enzyme spectrum and liver function.Chest X-ray and electrocardiogram(ECG) were normal.4 cases had EEG abnormality.All cases received ribavirin antiviral treatment,and were given corresponding symptomatic treatment to the complications,all patients recovered.Conclusion Epidemiological characteristics were local epidemic,obvious seasonal difference,the student was the main body.Common complications were encephalitis,gland inflammation,myocarditis,hepatitis,etc.,mumps vaccine should be advocated in the students.