摘要
目的：探讨耳严重撕脱伤的治疗．方法：急诊手术中，细致的清创可防止术后感染，预防耳软骨膜炎发生；外固定采用打包包扎法，保证耳廓上有一定的压力，有利于静脉回流，又使蒂部不受压；术后抗炎，抗凝治疗是必要的．结果：术后５例耳成活，外形良好，１例固定不当，耳坏死．结论：对有蒂相连的耳撕脱伤，处理得当，仍有理想效果．
AIM: To investigate the treatment of the serious ear avulsion injuries. METHODS: In emergency operation, careful debridement is the base for ear survival. It can prevent postoperative infection and periostitis of ear cartilage. Proper exopexy is the guarantee for ear survival. Using packing can not only ensure vein circulation by providing certain pressure on the auricle, but also exert only little pressure on the pedicle. It is necessary to use anti inflammatory therapy and anticogulant therapy after operation. RESULTS: In 5 cases the ears survived with satisfactory outlines. In one case, the ear was improperly fixed and necrosis occurred. CONCLUSION: Handled well, ear avulsion injuries with pedicles will be satisfactorily repaired.
出处
《第四军医大学学报》
1999年第11期979-981,共3页
Journal of the Fourth Military Medical University
关键词
耳
撕脱伤
外科手术
ear
avulsion injury
surgery operation
