Treatment of acute suppurative parotitis

Mumps is a common disease that occurs frequently among adolescents. The condition is not too serious and can heal on its own after a certain period of treatment and taking some anti-inflammatory drugs. However, acute suppurative mumps is relatively rare. This type of disease is a complication caused by infection in other parts of the body and is relatively serious, so it cannot be ignored.

Acute suppurative parotitis is often seen in severe systemic diseases, such as major gastrointestinal surgery that causes massive fluid loss, sepsis, prolonged high fever, dehydration, etc. These reasons cause the systemic and parotid resistance to be extremely low, and the pathogenic bacteria in the oral cavity retrogradely infect the parotid gland and cause the disease. Due to the improvement of living standards, the chances of the above situation occurring are gradually reduced, and even if it occurs, it can be corrected in time. Therefore, the incidence of acute suppurative mumps is now relatively rare. Generally, acute suppurative infection may occur during acute attacks of chronic mumps. For example, acute attacks of recurrent mumps in children, chronic obstructive mumps, and acute parotid infection secondary to Sjögren's syndrome may also cause acute suppurative infection of the parotid gland, but the causes, manifestations, treatments, and prognoses of each are different.

After the onset of the disease, you should pay attention to improving your overall condition. For critically ill patients with weak constitution, the body's fluid balance should be maintained, electrolyte imbalance should be corrected, and a small amount of fresh blood should be transfused if necessary to enhance the body's resistance. Use high-dose antibiotics to control infection as early as possible, and take Chinese herbal medicine orally or apply externally. If an abscess is formed, incision and drainage are required. Be careful to avoid damaging the facial nerve during incision. Generally, an incision is made in front of the tragus, the skin and subcutaneous tissue are cut, and the parotid gland is exposed. A small vascular forceps is used to perform blunt separation along the direction of the facial nerve, and multiple drainages are performed on scattered small pus foci.

Although this type of disease rarely occurs, it is quite harmful and is common in patients who have undergone major surgery. It is recommended that family members of patients who have undergone major surgery pay attention to the patient's adverse reactions, take timely prevention measures, exercise more often, eat more nutritious foods to increase the body's resistance, and avoid bacterial infection.