病历摘要:男患,7岁。因发热、腮腺肿大9天、吐字不清1天,于1985年6月6日入院。病前有密切腮腺炎接触史。体检:体温39℃,嗜睡,问话能回答,但吐字不清;流涎,伸舌受限,左颌下腺肿大约2.0～3.0cm,质韧,无触痛。颈有抵抗;心肺未见异常;腹软,肝脾未及;双手持物颤抖,双下肢正常。脑脊液:细胞数15×10~6/L,糖5.1mmol/L,蛋白0.238g/L,氯化物176.31mmol/L。住院后给予抗病毒、预防感染、降颅压、维生素 B 族、针灸、理疗等,精神状态好转,流涎减少,口闭合较前稍有力,双手颤抖减轻,但伸舌仍受限,进食困难,说话吐字不清。诊断为流行性腮腺炎并发脑膜炎、舌咽神经受累。该忠于入院第12日自动退院。半年后随访,患儿未经特殊治疗,一切恢 Medical record summary: Male suffering, 7 years old. Due to fever, parotid gland swelling 9 days, articulation 1 day, June 6, 1985 admission. There is a close history of mumps prior to illness. Physical examination: body temperature 39 ℃, lethargy, questioning can answer, but articulation is unclear; salivation, extension of the tongue restricted, left submandibular gland about 2.0 ~ 3.0cm, tough, no tenderness. Neck resistance; heart and lung no abnormalities; abdominal soft, liver and spleen not; hands holding trembling, both lower extremities normal. Cerebrospinal fluid: the number of cells 15 × 10 ~ 6 / L, sugar 5.1mmol / L, protein 0.238g / L, chloride 176.31mmol / L. Hospitalized with anti-virus, prevent infection, reduce intracranial pressure, vitamin B family, acupuncture, physical therapy, etc., mental status improved, reduced salivation, oral closure slightly stronger than before, hands shaking to alleviate, Speaking words unclear. Diagnosis of mumps complicated by meningitis, glossopharyngeal nerve involvement. The loyalty to admission on the 12th automatically retreat. Follow-up after six months, children without special treatment, all restored