外伤性与造作性鼓膜穿孔的界定

The difference between traumatic and artificial eardrum perforation

帮助司法鉴定人员鉴别各种鼓膜穿孔,通过多年的临床经验,依据患者鼓膜穿孔的位置与形状的区别、穿孔边缘的特点、就诊时间的不同以及有无外耳道壁损伤、鼓膜穿孔周边血迹情况及患者心理活动的不同等,总结出一套缜密合理的鉴定出患者鼓膜穿孔性质的方法,用这些方法可以准确的判断出是否为造作性鼓膜穿孔,以确保司法鉴定的公正性。

The purpose of this article is to help the doctors distinguish the differences between various eardrum perforations. Through years of clinical experience, the author summarizes a set of ways to judge traumatic and artificial eardrum perforations. Based on the location and shapes of the eardrum perforations, the characteristics of perforation edge, the visiting time, whether there are injuries or blood in the wall of the external auditory canal, bloodstain around the eardrum perforations and patients＇psychological status, the author tells the readers how to judge whether it is traumatic or artificial eardrum perforation, so as to ensure the justice of judicial expertise.