急性化脓性腮腺炎：老年手术患者的可怕并发症。
Acute suppurative parotitis: a dreadful complication in elderly surgical patients.
机构信息
First Department of Surgery, Tzaneion General Hospital, Piraeus, Greece.
出版信息
Surg Infect (Larchmt). 2012 Aug;13(4):266-9. doi: 10.1089/sur.2011.015. Epub 2012 Aug 22.
BACKGROUND
Acute suppurative parotitis (ASP) is a severe infection seen particularly in elderly surgical patients. Factors that increase the risk of ASP include post-operative dehydration, debilitating conditions, and immunosuppressed states.
METHOD
Case report and literature review.
RESULTS
An 82-year-old female patient was admitted because of paralytic ileus, dehydration, and poor oral hygiene, and was in distress. After two days of hospitalization, the patient developed a progressive painful swelling of her right parotid gland and fever up to 39.0°C. Computed tomography scanning showed an abscess in the parotid gland. Because of her progressive clinical deterioration, the patient underwent operative drainage of the abscess and removal of the necrotic material. Unfortunately, she suffered multiple organ dysfunction syndrome and died.
CONCLUSION
Acute suppurative parotitis requires prompt aggressive treatment that nevertheless may fail.
背景
急性化脓性腮腺炎（ASP）是一种严重的感染，尤其见于老年外科患者。增加 ASP 风险的因素包括术后脱水、虚弱状态和免疫抑制状态。
方法
病例报告和文献复习。
结果
一名 82 岁女性患者因麻痹性肠梗阻、脱水和口腔卫生不良而入院，情况危急。住院两天后，患者右侧腮腺出现进行性疼痛肿胀，并出现发热至 39.0°C。计算机断层扫描显示腮腺脓肿。由于病情逐渐恶化，患者接受了脓肿切开引流和坏死组织清除术。不幸的是，她患有多器官功能障碍综合征并死亡。
结论
急性化脓性腮腺炎需要及时积极治疗，但治疗可能会失败。
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