Pollack C V, Severance H W
Department of Medicine, University of Mississippi Medical Center, Jackson 39216.
J Emerg Med. 1990 Sep-Oct;8(5):561-5. doi: 10.1016/0736-4679(90)90450-a.
Three cases of sialolithiasis are presented, each representative of acute and chronic presentations of this problem. The evaluation and treatment of salivary gland and duct stones are outlined. The primary axiom is, "Treat the gland, not the stone," and the essential aspects of emergency medical management are antibiotics, sialogogues, warm compresses, mechanical stimulation, and appropriate referral to an otolaryngologist.
本文介绍了三例涎石病病例,每例分别代表了该疾病的急性和慢性表现。文中概述了唾液腺及导管结石的评估与治疗方法。首要原则是“治疗腺体,而非结石”,急诊处理的关键环节包括使用抗生素、催涎剂、热敷、机械刺激,以及适时转诊至耳鼻喉科医生处。