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目的流行性腮腺炎并发急性胰腺炎的早期诊断和治疗初探。方法回顾性分析28例小儿流行性腮腺炎并发急性胰腺炎的临床资料。全部病例检查血、尿淀粉酶、血脂肪酶和胰腺B超。结果全组血、尿淀粉酶增高,血脂肪酶异常23例,占82.1%,胰腺B超检查异常24例,占85.7%。28例患儿均为腮腺炎并发急性水肿性胰腺炎,给予保守治疗,全部治愈。结论流行性腮腺炎如出现腹痛、呕吐和发热,应尽早行血尿淀粉酶和胰腺B超检查,以早期诊断治疗。流行性腮腺炎并发急性胰腺炎并不少见。保守治疗效果良好。
Objective To study the early diagnosis and treatment of acute mumps complicated by acute pancreatitis. Methods The clinical data of 28 cases of mumps complicated with acute pancreatitis were retrospectively analyzed. All cases of blood, urine amylase, lipase and pancreatic B ultrasound. Results In the whole group, blood and urine amylase were increased, blood lipase abnormality was found in 23 cases (82.1%), and pancreatic ultrasound B was abnormal in 24 cases (85.7%). 28 cases of children with mumps complicated by acute edematous pancreatitis, given conservative treatment, all cured. Conclusion If mumps develops abdominal pain, vomiting and fever, hematuria amylase and pancreatic ultrasound B should be performed as soon as possible for early diagnosis and treatment. Mumps complicated by acute pancreatitis is not uncommon. Conservative treatment works well.