67例成人流行性腮腺炎的临床分析

Clinical analysis of 67 patients with adult mumps

目的:分析成人流行性腮腺炎患者的流行病学及临床特征。方法:回顾性分析池州市人民医院2006年1月至2011年9月收治的67例成人流行性腮腺炎住院患者的临床资料。结果:67例患者中,男性44例(65.67%)。68.66%的患者年龄在18～30岁之间。全年均可发病,发病时间主要集中在2月和5月。31例(46.27%)有流行性腮腺炎接触史。50例(74.63%)患者无腮腺炎疫苗接种史。36例(53.73%)患者出现1种或多种并发症,主要并发症是睾丸炎、卵巢炎和胰腺炎。结论:成人流行性腮腺炎以男性多见,多无疫苗接种史,多有明确的接触史,全年均可发病;成人患者病情重,并发症多。应加强针对成年人的疫苗接种。

Objective： To analyze the epidemiological and clinical features of patients infected with mumps in Chizhou. Methods： The clinical data records of 67 patients infected with mumps who were hospitalized in People＇s Hospital of Chizhou from January 2006 to September 20l 1 were retrospectively analyzed. Results： Among the 67 patients, 44 （65.67%） patients are male. There were 46 cases （68.66%） whose onset age ranged from 18 to 30 years old. The time of onset was mainly concentrated in May and July. Thirty one cases （46.27%） had a mumps contact history, 50 cases （74.63%） had no history of mumps vaccination and 36 cases （53.73%） had one or more complications. The main complications are orchitis, oophoritis and pancreatitis. Conclusion： Adult mumps are more common in males. Most of the patients had a clear history of exposure but no history of vaccination. It can occur in all year around. The adult patients had more severe illness and more complications. Thus,vaccination for adults should be strengthened.