BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 发热
  • 疼痛和吞咽困难
  • 面部肿胀
  • 反复的肿痛

其他诊断因素

  • 进食时偶然发生的肿胀
  • 口干药物的使用
  • 近期全麻下外科手术治疗
  • 眼干和口干

危险因素

  • 容量不足和营养不良
  • 免疫抑制
  • 干燥综合征
  • 结缔组织病

诊断性检查

首要检查

  • 导管分泌物的培养和药敏试验
  • 全血细胞计数
  • 放射线片(咬合片和/或软组织片)
全部具体信息

需要考虑的检查

  • 受累腺体的超声
  • CT扫描
  • DSA 唾液腺造影
  • MR 唾液腺造影
全部具体信息

新兴检查

  • 涎腺内镜检查
全部具体信息

治疗流程

贡献者

Consultant Oral and Maxillofacial Surgeon

Honorary Senior Lecturer

University Hospitals of Leicester NHS Trust - Leicester Royal Infirmary

Leicester

UK

利益冲突披露
CA declares that he has no competing interests.

Dr Chris Avery would like to gratefully acknowledge Dr Alfredo Aguirre, Dr Michael N. Hatton, and Dr Ernesto de Nardin, previous contributors to this monograph. AA, MNH, and EDN declare that they have no competing interests.

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Professor of Oral Pathology

Head of the Department of Oral and Maxillofacial Surgery and Oral Pathology

VU University Medical Centre and Academic Centre for Dentistry

Amsterdam

The Netherlands

利益冲突披露
IVDW declares that he has no competing interests.

Assistant Professor

New York University College of Dentistry

Department of Oral and Maxillofacial Surgery

Department of Periodontics and Implant Dentistry

New York University School of Medicine

New York

NY

利益冲突披露
MDT declares that he has no competing interests.

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