最近审阅: 1 十一月 2020
最近更新: 07 四月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腮腺炎
  • 缺失、没有接种或可能失败的(初次或二次接种)接种史

其他诊断因素

  • 全身性症状
  • 睾丸炎
  • 卵巢炎
  • 无菌性脑膜炎
  • 乳腺炎
  • 脑炎
  • 耳聋

危险因素

  • 未接种疫苗的状态
  • 免疫抑制
  • 医护人员
  • 国际旅行者
  • 密切的生活接触(大学生,囚犯,部队)
  • 疫苗失败

诊断性检查

首要检查

  • 流行性腮腺炎唾液IgM抗体
更多 首要检查

需考虑的检查

  • 全血细胞计数 (FBC) 和分类计数
  • 腰椎穿刺:
  • 流行性腮腺炎血清IgM抗体
  • 流行性腮腺炎血清IgG抗体
  • RT-PCR
  • 血清淀粉酶
  • 病毒培养(脑脊液、唾液或尿液)
  • 脑部 CT
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Consultant in Community Child Health

Great Ormond Street Hospital

London

UK

利益声明

DE is involved in expert legal work where those with parental responsibility disagree as to whether a child should be immunised.

Professor of Children's Health

UCL Institute of Child Health

London

UK

利益声明

HB declares that she has no competing interests.

Dr David Elliman and Professor Helen Bedford would like to gratefully acknowledge Dr Kristin Furfari, a previous contributor to this topic. KF declares that she has no competing interests.

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Assistant Professor of Clinical Dermatology

Columbia University

New York

NY

利益声明

RU declares that he has no competing interests.

Assistant Professor of Medicine

Division of Infectious Diseases

University of Vermont College of Medicine

Burlington

VT

利益声明

CDH declares that he has no competing interests.

Deputy Director

National Centre for Immunisation Research and Surveillance

Postgraduate Fellow

Department Of Microbiology and Infectious Diseases

The Children’s Hospital

Westmead

New South Wales

Australia

利益声明

KM declares that she has no competing interests.

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