耳部钢筋复杂穿刺伤救治1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2023.199

摘要/Abstract

摘要： 目的探讨复杂耳部利器伤的急症处理及后续并发症防治。方法追踪1例耳部利器伤患者的治疗及预后。结果患者听力部分改善,面瘫情况较前有明显改善。结论耳周围有诸多重要血管及神经穿行,严重耳部利器伤不仅会导致严重的并发症,更有甚者危及生命。利器导致的外耳道损伤无可避免,同时合并的多发性损伤大大加剧了手术难度、术后相关护理难度及术后并发症防治处理难度。论文对此病例进行讨论,结合患者情况采用个性化治疗方案,改善患者预后及生活质量。

关键词: 利器穿刺伤, 颞骨骨折, 外耳道狭窄, 面瘫, 听力障碍

Abstract: Objective To investigate the emergency management of complex sharps-based ear injuries and the management of complications. Methods This report describes the treatment and prognosis of a patient with an ear sharpshooter injury. Results After treatment, the patient's hearing partially improved and the facial palsy improved significantly. Conclusion There are many important blood vessels and nerves in the vicinity of the ear. Therefore, serious sharps injuries to the ear can lead to not only serious complications but also life-threatening injuries. Injuries to the external auditory canal by sharp instruments are inevitable, and multiple injuries greatly increase the difficulty of the surgical intervention, related postoperative care, and management of postoperative complications. This case report describes a personalized treatment plan that was used to improve the patient's prognosis and quality of life.

Key words: Sharp tool puncture, Temporal bone fracture, External auditory canal stenosis, Facial paralysis, Dysaudia

中图分类号:

R764.9

索安奇,孙聚兴,牛红燕,周艳秋,牛鹏昊,毛文伟,李晓瑜,杨欣欣. 耳部钢筋复杂穿刺伤救治1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(2): 79-83.

SUO Anqi, SUN Juxing, NIU Hongyan, ZHOU Yanqiu, NIU Penghao, MAO Wenwei, LI Xiaoyu, YANG Xinxin. Treatment of complex steel-sharps-based ear puncture wound: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(2): 79-83.

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