流行性腮腺炎一般認为多見于儿童,但据我們的观察成人患者亦不少見,甚至在成人团体內亦可引起流行。我們自1953年起至1957年底止共收治460例,今就現有材料較完整的422例临床观察作一报告,以供討論。临床材料 1.发病季节:一年四季均有病例出現:一般在春季开始增多,秋季漸次減少,其中以三、四、五、六月最多,共284例,占总数67.5％。 2.年龄与性別:儿童組48例患者以4-6岁者最多,成人組374例則以21-25岁者最常見。年龄最小者一例,仅四个月;而最大者为39岁。女性共31例,占7.4％;男性儿童占7.1％,余均为男性成人,計占85.5％,此点显然与我們收治对象范围有关。 3.自觉症状与体征:若仅唾液腺受累則临床上一般以患部疼痛、咀嚼痛、张口痛等最为常見,半数以上患者入院时体温增高;检查以患部压痛及肿胀最多見,次为受累腺体管口紅肿(表一)。受侵腺体中以 Mumps is generally considered to be more common in children, but our observation is not uncommon for adult patients, and even in adult groups. We have treated 460 cases from 1953 to the end of 1957, and we present a report on the more complete 422 clinical observations available for discussion. Clinical Materials 1. Sickness season: Cases occurred in all the year round: Generally, the number began to increase in spring and gradually decreased in autumn, of which 284 cases were the most in three, four, five and six months, accounting for 67.5% of the total. Age and sex: 48 children in the group of children up to 4-6 years of age, 374 adults in adults 21-25 years of the most common. One of the youngest cases, only four months; and the largest is 39 years old. A total of 31 cases of women, accounting for 7.4%; male children accounted for 7.1%, the remaining were male adults, accounting for 85.5%, this point is clearly related to the scope of our treatment. 3. Subjective symptoms and signs: If only the salivary gland involvement is clinically the general part of the affected area pain, chewing pain, mouth pain and other most common, more than half of patients admitted to hospital when the body temperature increased; check to the affected part of the tenderness and swelling the most common, followed by the affected glands Mouth swelling (Table I). Invaded glands to