Lamey P J, Boyle M A, MacFarlane T W, Samaranayake L P
Oral Surg Oral Med Oral Pathol. 1987 Jan;63(1):37-41. doi: 10.1016/0030-4220(87)90337-9.
The presenting clinical features of twenty-seven cases of acute suppurative parotitis seen in the Oral Medicine Unit, Glasgow Dental Hospital, between 1975 and 1985 are reviewed. The microbiologic findings plus the management and subsequent findings on sialography after recovery are summarized. Of the microorganisms isolated, alpha-hemolytic streptococci predominated, with many other bacteria similar in range to those reported in previous studies. Microbiologically, the drug of choice was erythromycin, closely followed by ampicillin. Sialography in the posttreatment phase demonstrated a local salivary gland abnormality in 70% of patients, and 22% of patients had a generalized salivary gland disorder. On the basis of these findings, a management regime for patients with acute suppurative parotitis is suggested.
本文回顾了1975年至1985年间在格拉斯哥牙科医院口腔内科就诊的27例急性化脓性腮腺炎患者的临床表现。总结了微生物学检查结果以及康复后唾液腺造影的处理情况和后续检查结果。在分离出的微生物中，α-溶血性链球菌占主导，其他许多细菌的种类与先前研究报道的相似。在微生物学方面，首选药物是红霉素，其次是氨苄青霉素。治疗后阶段的唾液腺造影显示，70%的患者存在局部唾液腺异常，22%的患者患有全身性唾液腺疾病。基于这些发现，本文提出了急性化脓性腮腺炎患者的治疗方案。
