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慢性阻塞性腮腺炎有哪些臨床表現?

Posted By vickong pun     July 11, 2021    

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慢性阻塞性腮腺炎有哪些臨床表現?

  

  慢性阻塞性腮腺炎有哪些臨床表現?男性發病略多於女性,大多數發生於中年。
多單側受累,也可雙側。

患者常不明確起病時間,多因腮腺反復腫脹而就診。
約占半數的患者腫脹和進食有關;發作次數變異較大,多者每次進食都腫脹,少者一年內很少發作。
大多平均每月發作一次以上。

發作時伴有輕微的疼痛,這是因為進食時唾液分泌增加並黏稠,排出受阻所致。
有的患者腮腺腫脹與進食無明確的關係,晨起感腮腺區發脹,自己稍加按摩後即有“鹹味”液體自導管口流出,隨之局部感鬆快。
臨床檢查腮腺稍增大,能捫到腫大的腮腺輪廓,中等硬度,輕微壓痛。

導管口輕微紅腫,擠壓腮腺可從導管口流出渾濁的“雪花樣”或黏稠的蛋清樣唾液,有時可見黏液栓子。
病程較久者,可在頰黏膜下捫及粗硬、呈條索狀的腮腺導管。

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