摘要
目的调查分析汶川大地震后送伤员涉及耳鼻咽喉头颈部伤情的特点以及救治原则。方法对汶川大地震中的206例进行耳鼻咽喉专科拉网式筛查及检诊，调查耳鼻咽喉头颈部伤情、致伤原因，并及时予以救治。结果206例伤员中，收入院伤员165例，伤员中合并耳鼻咽喉头颈部伤37例（22．4％），主要包括：耳廓及外耳道外伤10例（27％），鼓室积血2例（5．4％）；鼓膜破裂出血1例（2．7％）．外耳道异物4例（10．8％）；鼻出血4例（10．8％）；鼻骨骨折及蝶骨、筛骨骨折6例（16．2％）；蝶骨、筛骨骨折合并脑脊液鼻漏1例（2．7％）；颧部外伤感染伴脓肿形成1例（2．7％）；下颌骨及颧骨骨折4例（10．8％）；口唇黏膜撕裂伤2例（5．4％）；声音嘶哑2例（5．4％）。致伤原因以摔伤及踩踏伤居多。所有患者处理全身其他合并伤同时，对专科情况给予适当处理，均取得良好效果。结论地震伤救治后送伤员大部分为多发伤，耳鼻咽喉头颈部损伤多为全身其他部位的并发伤，容易被忽略，专科医生应及早对伤员进行全面检查诊断并及时治疗。
Objective To investigate and analyze the wounded＇s state of ear,nose,throat,neck and head injury in Wenchuan earthquake. Methods The 206 wounded cases, who was treated in No. 452 Hospital of People＇s Liberation Army,were investigated specially with emphasis on injury casue, severity and treatment. Results The injured 165 cases among the 206 were in hospital, while the cases who related to the injury of ear, nose and throat were 37 cases （22. 4% ）. Among the inpatients, the trauma of otorhinolaryngology and head and neck included： ear injuries totally 13 cases （including haemotympanum 2 cases）, extraneous matter 4 cases, haemorrhagia 4 cases, nasalis and the fracture of nasal bone and nasal sinuses 7 cases （including cerebrospinal rhinorrhea 1 case） ,zygomatica abscess 1 case,fracture of mandible 4 cases,lip injureies 2 cases and hoarse 2 cases. The inpatients were wounded mostly because of falling and stepping. All the inpatients recovered well after properly management by ENT doctors. Conclusions Maxillofacial injury of the wounded those were medical evacuation in the earthquake area, was ignored more readily comparing to the injury of other spots, so specialist should examine early and treat properly the people as soon as possible.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2008年第9期643-646,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
