新生儿化脓性腮腺炎1例报告并文献复习
李涛 任雪云 游芳 李娟娟[摘要] 对我院儿科2019年10月诊断的1例新生儿化脓性腮腺炎的临床资料进行回顾性分析,并复习国内外相关文献。患儿为1例26 d男性新生儿,母乳喂养,患急性化脓性腮腺炎,发病前母亲有乳腺炎病史,存在典型临床表现,如发热、腮腺区肿胀,腮腺导管口流脓,白细胞增高,脓液培养提示金黄色葡萄球菌生长,经抗生素等治疗13 d痊愈。统计文献报道的18例病例,发病日龄为3~28 d,以男性患儿多见,单侧受累,最常见的病原菌为金黄色葡萄球菌,感染途径主要是逆行感染,患儿均有典型临床表现,经抗感染治疗,在脓肿形成后给予穿刺或切开引流治疗,均治愈出院,随访无复发。新生儿化脓性腮腺炎在临床上极少见,一旦确诊,应及时、有效的治疗,预后良好。
[关键词] 新生儿;化脓性腮腺炎;早期诊断
[中图分类号] R715.2? ? ? ? ? [文献标识码] C? ? ? ? ? [文章编号] 1673-9701(2021)03-0168-04
A case report of neonatal suppurative parotitis and literature review
LI Tao? ?REN Xueyun? ?YOU Fang? ?LI Juanjuan
Affiliated Hospital of Ji′ning Medical University, Ji′ning? ?272000, China
[Abstract] The clinical data of a neonate with suppurative parotitis diagnosed in pediatrics department in our hospital in October 2019 were retrospectively analyzed, and the related literatures at home and abroad were reviewed.A 26-day-old male neonate was breast-fed and suffered from acute suppurative parotitis. Before the onset of acute suppurative parotitis,his mother had a history of mastitis and presented with typical clinical manifestations ......
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