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唐××,男,出生6天。住院号75817。发现左腮部红肿1天,于83年12月31日入院。患儿系第一胎,足月,顺产,生后一般情况好。混合喂养。生后第5天,发现患儿左腮部稍有红肿,次日左腮部红肿明显,并扩散至左耳廓及外耳道口,触之患儿哭闹,无发热。否认流行性腮腺炎接触史。体检:体温37~4C,脉搏124次/分,哭声响亮,皮肤无黄染,全身及左腮部皮肤未见破损。前囟平,左耳廓及腮部红肿触及3×3cm硬块,有触痛。左侧腮腺管口红肿,咽(一)。心肺正常。腹软,脐部干燥,肝肋下刚触及,软,脾肋下未触及。四肢活动好,moro’s(+)。
Tang × ×, male, born 6 days. Hospital number 75817. Found left cheek swelling 1 day, on December 31, 83 admission. Children with the first child, full-term, natural delivery, after birth, the general situation is good. Mixed feeding. 5 days after birth, found that children with left cheek slightly red and swollen, obvious swelling of the left cheek the next day and spread to the left auricle and external auditory meatus mouth, touching the child crying, no fever. Denied the history of mumps exposure. Physical examination: body temperature 37 ~ 4C, pulse 124 beats / min, cries loud, no yellow skin, body and left cheek skin no damage. Anterior fontanelle, left auricle and cheek swelling touched 3 × 3cm lumps, tenderness. Left parotid orifice swollen, pharynx (a). Cardiopulmonary normal. Abdomen soft, umbilical dry, liver ribs just touch, soft, spleen ribs untouched. Good limbs, moro’s (+).