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目的探讨流行性腮腺炎的流行特征及临床特点,为今后防治腮腺炎提供科学依据。方法对2007年1月～2009年12月本院收治的210例流行性腮腺炎的临床资料进行回顾性分析。结果 210例流行性腮腺炎中142例未接种疫苗,发病年龄主要为3～6岁,春季为好发季节,多以散发为主,占本院统计的丙类传染病发病之首。流行性腮腺炎临床表现以痛性腮腺肿大为主,并发症主要为脑膜炎、胰腺炎,一般预后良好,90%的患儿血清淀粉酶轻度或中度升高。结论加强重点人群的预防保健,早期进行疫苗接种,避免儿童的交叉感染,是减少发病的关键。在发病后须积极治疗,患儿预后良好,同时血清淀粉酶的升高有助于腮腺炎的诊断。
Objective To explore the epidemiological characteristics and clinical features of mumps and provide a scientific basis for prevention and treatment of mumps in the future. Methods The clinical data of 210 cases of mumps admitted in our hospital from January 2007 to December 2009 were analyzed retrospectively. Results Of the 210 cases of mumps, 142 cases were unvaccinated. The age of onset was mainly 3 to 6 years old. Spring was the predisposition season and most of them were predominantly sporadic, accounting for the first incidence of C-type infectious diseases in our hospital. Mumps clinical manifestations of parotid gland swelling mainly complications of meningitis, pancreatitis, the general prognosis is good, 90% of children with serum amylase mild or moderate increase. Conclusions Strengthening key preventive health care, early vaccination and avoiding cross-infection among children are the key points to reduce morbidity. After the onset of active treatment, children with good prognosis, while elevated serum amylase contribute to the diagnosis of mumps.