Valenti M, Rodola F, Rollo M, Stoppa F, Vagnoni S
Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, Roma.
Minerva Anestesiol. 1995 Sep;61(9):393-5.
An acute transient swelling of the parotid glands is recorded after general anaesthesia in orthopaedic surgery. The first differential diagnosis is bacterial parotitis; other causes of gland enlargement are viral infections, lymphoma, leukemia, sarcoidosis, Sjogren's syndrome, malnutrition cirrhosis, vomiting, and poor oral hygiene. Excluding the above mentioned conditions, the most probably factors involved in our case are drugs used for anaesthesia, congestion of the venous drainage of the gland because of parasympathetic stimula during tracheal intubation and head positioning during surgery.
骨科手术全身麻醉后记录到腮腺急性短暂肿胀。首要鉴别诊断是细菌性腮腺炎；腺体肿大的其他原因包括病毒感染、淋巴瘤、白血病、结节病、干燥综合征、营养不良性肝硬化、呕吐和口腔卫生不良。排除上述情况后，我们病例中最可能涉及的因素是麻醉用药、气管插管期间副交感神经刺激以及手术期间头部定位导致的腺体静脉引流充血。
