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典型的流行性腮腺炎,诊断一般并不困难。但应注意与急性颈部、耳前、颌下淋巴结炎(以下简称急性淋巴结炎)相鉴别。若将“流腮”误诊为急性淋巴结炎,会进行不必要的抗菌素疗法。反之,把急性淋巴结炎误诊为“流腮”,则可能引起严重后果。笔者曾遇一位2个月小婴儿,系患急性淋巴结炎,被当地医生误诊为“流腮”,未采取适当治疗而化脓,后经抗菌素治疗,并切开引流方愈。另有一例2岁小儿,亦系急性淋巴结炎,被误诊为“流腮”而贻误治疗,致淋巴结化脓,引起纵隔脓肿、脓胸,最后发展为脓毒败血症。因此对这两种病要认真鉴别诊断。
A typical mumps diagnosis is generally not difficult. But should pay attention to acute neck, ear, submandibular lymphadenitis (hereinafter referred to as acute lymphadenitis) phase identification. If the “gills” misdiagnosed as acute lymphadenitis, will carry out unnecessary antibiotic therapy. Conversely, the misdiagnosis of acute lymphadenitis as “gruel” may have serious consequences. I have encountered a 2-month-old baby, Department of acute lymphadenitis, was misdiagnosed as local doctors “gruel”, did not take appropriate treatment and purulent, after antibiotic treatment, and cut the drainage side more. Another case of 2-year-old children, also Department of acute lymphadenitis, was misdiagnosed as “gills” and delaying treatment, resulting in lymph node suppuration, causing mediastinal abscess, empyema, and finally the development of septic sepsis. Therefore, these two diseases should be carefully distinguished diagnosis.