Armstrong Matthew A, Turturro Michael A
Mike O'Callaghan Federal Hospital, Nellis Air Force Base, Las Vegas, NV, USA.
Emerg Med Clin North Am. 2013 May;31(2):481-99. doi: 10.1016/j.emc.2013.01.004.
Salivary gland disorders are uncommon in the emergency department setting. Given the vast differential that spans infectious, autoimmune, neoplastic, and metabolic processes, they can pose a diagnostic challenge even to skilled clinicians. There is a paucity of evidence-based data regarding the management of these disorders with frequent incongruence between specific sources. Although by no means exhaustive or absolute, this article reconciles existing literature and serves as a concise and informative guide to salivary gland disorders encountered by the emergency care practitioner.
唾液腺疾病在急诊科并不常见。鉴于其涉及感染、自身免疫、肿瘤和代谢等多种不同病因,即使对经验丰富的临床医生来说,诊断也颇具挑战。关于这些疾病的治疗,缺乏基于证据的数据,且不同来源之间常常存在不一致。尽管本文绝非详尽无遗或绝对权威,但它整合了现有文献,为急诊医生遇到的唾液腺疾病提供了一份简洁且信息丰富的指南。