涎腺炎的处理方法。
Approach to sialadenitis.
机构信息
Medical student in the Faculty of Health Sciences at Queen's University in Kingston, Ont.
Assistant Professor in the Department of Family Medicine at Queen's University.
出版信息
Can Fam Physician. 2023 Aug;69(8):531-536. doi: 10.46747/cfp.6908531.
OBJECTIVE
To provide family physicians with a practical evidence-based approach to the management of patients with sialadenitis.
SOURCES OF INFORMATION
MEDLINE and PubMed databases were searched for English-language research on sialadenitis and other salivary gland disorders, as well as for relevant review articles and guidelines published between 1981 and 2021.
MAIN MESSAGE
refers to inflammation or infection of the salivary glands and is a condition that can be caused by a broad range of processes including infectious, obstructive, and autoimmune. History and physical examination play important roles in directing management, while imaging is often useful to establish a diagnosis. Red flags such as suspected abscess formation, signs of respiratory obstruction, facial paresis, and fixation of a mass to underlying tissue should prompt urgent referral to head and neck surgery or a visit to the emergency department.
CONCLUSION
Family physicians can play an important role in the diagnosis and management of sialadenitis. Prompt recognition and treatment of the condition can prevent the development of complications.
目的
为家庭医生提供一种实用的基于证据的方法来管理涎腺炎患者。
资料来源
在 MEDLINE 和 PubMed 数据库中搜索了关于涎腺炎和其他唾液腺疾病的英文研究，以及 1981 年至 2021 年期间发表的相关综述文章和指南。
主要信息
是指唾液腺的炎症或感染，是一种可由多种过程引起的疾病，包括感染、阻塞和自身免疫。病史和体格检查在指导治疗方面起着重要作用，而影像学检查通常有助于明确诊断。出现疑似脓肿形成、呼吸阻塞迹象、面部瘫痪和肿块固定于下方组织等“危险信号”时，应立即转至头颈外科就诊或到急诊科就诊。
结论
家庭医生可以在涎腺炎的诊断和管理中发挥重要作用。及时识别和治疗该疾病可以预防并发症的发生。
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