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流行性腮腺炎是由腮腺炎病毒引起的急性呼吸道传染病。也是儿童常见疾病。近年来,我们应用西咪替丁静脉滴注治疗儿童流行性腮腺炎40例,取得显著疗效。现报告如下。 1.临床资料 病例:选择发热2天内,根据病史、体征,结合流行病学及实验室检查确诊的住院患儿,随机分成治疗组40例,对照组30例,共70例,其中男41例,女29例,年龄2～10岁。两组患儿在年龄、性别、发病年份分布及治疗前病情经统计学处理,无显著性差异(P>0.05)。 治疗:(1)治疗组:给予西咪替丁按每日每公斤体重15mg静脉滴注,疗程3～7天;(2)对照组:给予聚肌胞肌注,<3岁,隔日1次1mg;≥3岁,每隔日1次2mg,疗程3～7天;(3)其它补液对症、中医中药治疗两组相同。 疗效判定:经治疗72小时体温降至正常,腮腺肿胀消退为显效;治疗72小时体温降至正常,腮腺肿胀明显消退为有效;治疗72小时体温仍高,腮腺肿胀消退不明显,甚至加剧或出现并发症为无效。
Mumps is an acute respiratory infection caused by the mumps virus. It is also a common disease in children. In recent years, we applied cimetidine intravenous drip treatment of children with mumps in 40 cases, and achieved significant results. The report is as follows. 1. Clinical data Case: Choose fever within 2 days, according to history, signs, combined with epidemiological and laboratory tests diagnosed inpatients were randomly divided into treatment group 40 cases, control group 30 cases, a total of 70 cases, including 41 males , 29 females, aged 2 to 10 years old. There was no significant difference between the two groups in terms of age, sex, year of onset and pre-treatment condition (P> 0.05). Treatment: (1) treatment group: given cimetidine 15mg per kilogram of body weight per day intravenous infusion, course of treatment for 3 to 7 days; (2) control group: given intramuscular injection of polymyosin, <3 years old, every other day 1mg; ≥ 3 years old, every other day 2mg, course of treatment of 3 to 7 days; (3) other fluid replacement symptomatic treatment of traditional Chinese medicine in both groups the same. Therapeutic effect is determined: the body temperature dropped to normal after 72 hours of treatment, parotid gland regression was markedly effective; 72 hours after treatment the body temperature dropped to normal parotid gland swelling subsided effectively; 72 hours after treatment the body temperature is still high, parotid swelling subsided insignificant, or even aggravate or appear Complication is invalid.