Treatment of acute mumps

Treatment of acute mumps:

1. Correct dehydration and electrolyte imbalance according to the cause and maintain fluid balance. If necessary, administer compound amino acids to improve the body's resistance.

2. Choose effective antibiotics and use anti-Gram-positive coccal antibiotics, such as large doses of penicillin or appropriate amounts of cephalosporin. Take purulent secretions from the parotid duct orifice and choose the most sensitive antibiotic. No bacterial culture or drug sensitivity test is required.

3. Other conservative treatments for inflammation: early hot compresses, physical therapy, external application of Ruyi Jinhuang powder, drinking acidic drinks or oral vitamin C tablets or taking 1% orally; 3-5 drops of pilocarpine 2-3mg, 2-3 times a day, can increase saliva secretion. Warm boric acid, sodium bicarbonate solution and other disinfectant mouthwashes can also help control inflammation.

4. Incision and drainage When suppuration develops, drainage must be cut off. Its characteristics are: obvious local sunken edema, local jumping pain and localized tenderness points, hesitant pus in puncture; pus is discharged from the parotid duct mouth, and systemic infection and poisoning symptoms are obvious. Incision and drainage method: local invasive anesthesia. From the tragus to the mandibular angle incision, the skin, subcutaneous tissue and parotid masseter fascia fluid accumulate under the fascia, and drainage can be obtained. If there is no pus overflow, a curved vascular clamp can be inserted into the parotid parenchyma abscess cavity to drain the pus. Due to the common multiple abscesses, we should pay attention to separating the abscess cavity in different directions and separating each gland lobule. After cleaning the rubber drainage strip, wash it with saline every day and replace the drainage strip.