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例1 女,14岁,因双侧腮腺肿胀伴纳差2天,门诊以流行性腮腺炎(流腮)收入院。10天前有流腮接触史。查体:血压14/10kPa,双腮腺明显肿大,边缘不清,质韧,触痛,腮腺管开口红肿明显,无脓性分泌物。给以病毒唑、复方大青叶合剂等药物治疗。入院第2天患者双腮腺肿胀明显加重,体温39.5℃,右侧额纹消失,右眼闭合不能,右侧鼻唇沟变浅,右侧口角下垂,初诊为流腮并发右侧面神经炎。即给强地松10mg、地巴唑20mg3次/日,维生素B_(12)500μg im.qd,
Example 1 Female, 14 years old, due to bilateral parotid swelling with anorexia for 2 days, out-patient mumps (gruel) hospital admission. 10 days ago, the history of cheek contact. Physical examination: blood pressure 14 / 10kPa, double parotid gland swelling, marginal unclear, quality toughness, tenderness, swelling of the parotid duct opening obvious, no purulent secretions. To ribavirin, compound Folium Compound medication. Patients on the first 2 days of patients with parotid gland swelling was significantly worse, body temperature 39.5 ℃, the right frontal pattern disappeared, the right eye can not be closed, the right nasolabial fold shallow, the right side of the mouth drooping, first diagnosed as migraine paroxysmal right facial neuritis. That is to give prednisone 10mg, 3mg of barbazole daily / day, vitamin B_ (12) 500μg im.qd,