Mumps complicated by acute pancreatitis in children with clinical analysis of 93 cases of.doc

 PAGE \* MERGEFORMAT 11 Mumps complicated by acute pancreatitis in children with clinical analysis of 93 cases of 【Key Words】 mumps Mumps is caused by the mumps virus, acute respiratory diseases. More common in children and adolescents, the virus mainly affects the parotid gland, can also be violations of a variety of glandular tissue, or nervous system and heart, liver, kidneys, joints, etc. Almost all of the organs, can cause meningitis, pancreatitis, orchitis, ovarian Yandeng [1]. Now our hospital 2005  01 ~ 2006  12 admitted 642 cases of mumps complicated with acute pancreatitis in 93 cases of analysis are summarized below. A clinical data 1.1 General information on 93 cases of children in this group of male 60 cases, female 33 cases, age of onset of 3 to 14 years old, distributed throughout the year. Pre-hospital duration of 1 ~ 7 d, an average of 4 d. 1.2 Local clinical manifestations have mumps epidemic, all cases were both sides of the parotid gland swelling history, have fever, vomiting, abdominal pain, persistent upper abdominal pain occurred in 52 cases, paroxysmal in 41 patients with upper abdominal pain. From the parotid swelling to the diagnosis “acute pancreatitis” in the shortest 3 d, up to 15 d, an average of 9 d. No swelling of the parotid gland admission palpation in 14 patients with unilateral or bilateral parotid gland with lobe-centered diffuse swelling in 79 cases, heart and lung auscultation were not heard and was obviously abnormal, abdominal soft, liver and spleen ribs were not touched, no ascites Zheng, abdominal pain, upper abdominal area in both the main and local tenderness, nervous system pathological reflex negative sign. 1.3 auxiliary examination WBC 5 × 109 ~ 10 × 109/L10 cases,gt; 10 × 109 / L 34 patients with lymph node-based classification of leukocytes of 66 cases. Serum lipase were elevatedgt; 60 / L, serum amylase 300 ~ 400 U / L 49 Li,gt; 800 U / L 16 Li, 800 U / L for mor