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以蓝鼓膜为特征的中耳病变临床诊治分析
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作者 李永奇 李鹏 +1 位作者 曾祥丽 张革化 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2011年第6期795-798,806,共5页
【目的】探讨以蓝鼓膜为主要体征的常见几种中耳疾病的临床诊治要点。【方法】回顾性分析从2006年1月到2010年2月诊治的以蓝鼓膜为主要临床体征的21例患者的临床特征和诊治经过。【结果】21例(22耳)蓝鼓膜病例中,诊断为中耳胆固醇肉芽肿... 【目的】探讨以蓝鼓膜为主要体征的常见几种中耳疾病的临床诊治要点。【方法】回顾性分析从2006年1月到2010年2月诊治的以蓝鼓膜为主要临床体征的21例患者的临床特征和诊治经过。【结果】21例(22耳)蓝鼓膜病例中,诊断为中耳胆固醇肉芽肿8例,外伤性血鼓室3例,鼓室型颈静脉球瘤1例,颈静脉球体瘤2例,高位颈静脉球4例,慢性分泌性中耳炎2例,鼓室毛细血管瘤1例。除4例颈静脉球高位病例外,其余17例(18耳)均手术治疗,16例(16耳)术中彻底清除了病变组织,术后随访1~3年未见复发。【结论】以蓝鼓膜为临床特殊体征的患者中,以中耳胆固醇肉芽肿最常见,其次为外伤性血鼓室、颈静脉球瘤、高位颈静脉球、慢性分泌性中耳炎、特发性血鼓室、鼓室毛细血管瘤等。鉴别诊断需要综合病史、听力学结果及影像学检查(包括颞骨薄层螺旋CT及MR)。确诊则需要手术探查和组织病理学结果。 展开更多
关键词 鼓膜 颜色 中耳 胆固醇肉芽肿 血鼓室 诊断 治疗
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外耳道离子导入治疗外伤性鼓室积血的临床疗效
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作者 黄孝华 冼志 朱茹芝 《中国医学创新》 CAS 2013年第22期96-97,共2页
目的:探讨用α-糜蛋白酶离子导入外耳道治疗外伤性鼓室积血的临床疗效。方法:选取在本院治疗的52例外伤性鼓室积血患者,采用α-糜蛋白酶离子导入外耳道治疗的方法,治疗后观察患者的临床疗效。结果:52例外伤性鼓室积血患者中治愈28例,占5... 目的:探讨用α-糜蛋白酶离子导入外耳道治疗外伤性鼓室积血的临床疗效。方法:选取在本院治疗的52例外伤性鼓室积血患者,采用α-糜蛋白酶离子导入外耳道治疗的方法,治疗后观察患者的临床疗效。结果:52例外伤性鼓室积血患者中治愈28例,占53.8%;显效18例,占34.6%;无效6例,占11.5%,总有效率为88.5%。结论:α-糜蛋白酶直流电离子导入治疗外伤性鼓室积血操作方法简便,疗效比较显著。该方法是一种安全有效的临床治疗方法,值得在临床推广应用。 展开更多
关键词 Α-糜蛋白酶 离子导入 外伤性鼓室积血
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Wet cupping(Al-hijamah)as a strange cause of ear trauma:A case report
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作者 Raid M Al-Ani 《World Journal of Otorhinolaryngology》 2023年第2期30-35,共6页
BACKGROUND Cupping therapy is used across the globe since ancient Egypt.It is used as a complementary or alternative to daily clinical practice.Cupping therapy could be dry or wet(Al-hijamah)type.It is considered a re... BACKGROUND Cupping therapy is used across the globe since ancient Egypt.It is used as a complementary or alternative to daily clinical practice.Cupping therapy could be dry or wet(Al-hijamah)type.It is considered a relatively safe procedure for a variety of clinical problems like lower backache,shoulder pain,neck pain,headache,and migraine.Application of cupping therapy over body orifices is contraindicated.CASE SUMMARY A 27-year-old gentleman presented with sudden left-sided hearing loss and tinnitus for 7 d.He gave a history of upper respiratory tract infection 14 d before his complaints.He received Al-hijamah over his left ear 3 d before seeking advice from the Otolaryngology clinic,but without benefit.Physical examination showed a dull-looking left ear drum,hemotympanum in the posterior part of the tympanic cavity,two blood clots over the eardrum,and multiple bleeding points over the external ear canal and tympanic membrane.A pure tone audiogram and tympanogram confirmed the diagnosis of middle ear effusion.Conservative treatment(avoidance of water entry,antibiotics,and local and systemic decongestants)was given for 5 d.The presenting symptoms as well as ear injuries resolved completely two weeks after the follow-up.CONCLUSION We do not recommend using Al-hijamah directly over the ear as a treatment option for hearing loss to avoid unwanted ear trauma as well as there is no benefit from this kind of treatment. 展开更多
关键词 Al-hijamah Ear trauma hemotympanum Secretary otitis media Cupping therapy Hearing loss Case report
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