90例流行性腮腺炎的临床分析

Clinical analysis of 90 cases with mumps

目的了解流行性腮腺炎的流行病学及临床特点,为制定防治措施提供依据。方法对2008年1月～2012年12月我院收治的90例流行性腮腺炎患者的临床资料进行分析。结果本组病例主要为儿童和青少年,全年均有散发病例,发病高峰期为4～7月份,儿童发病率下降,成人发病率增加。临床表现主要为腮腺肿痛和发热,脑膜脑炎和睾丸炎是常见并发症。应用利巴韦林联合中成药痰热清,并针对并发症治疗,均痊愈出院,预后良好。结论流行性腮腺炎发病呈全年散发流行,成人发病率增加,绝大部分病例为单纯普通型,并发症以脑膜脑炎为主,睾丸炎次之,患者预后良好。

Objective To analyze the epidemic characters and clinical features of mumps,then provide evidence for establishing the prophylactico-therapeutic measures. Methods Data of 90 cases with mumps admitted in our hospital from January 2008 to December 2012 were analyzed. Results In these cases,the majority consisted of children and adolescents, distributing all the year round, peak time of incidence was from April to July, the incidence of children was decreased, while adult was increased. Clinical features were mainly parotid gland and pain as well as fever,the common complications were meningoencephalitis and orchitis. All of the patients were cured with Ribavirin and Tanreqing as well as treating the complications, prognosis was good. Conclusion The incidence of mumps was distributed all the year round,adults were more likely to be suffered,the vast majority of cases were ordinary simple type, the main complication was meningoencephalitis, followed by the orchitis, all got good prognosis.