耳廓外伤的急诊处理  

Emergency Treatment for Auricular Trauma

作　　者：郭佩佩 蒋海越 Guo Peipei;Jiang Haiyue(The Seventh Department of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing,100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院整形七科,北京100144

出　　处：《当代医学》2018年第13期184-186,共3页Contemporary Medicine

基　　金：首都临床特色应用研究(Z151100004015185)

摘　　要：耳廓位于头颅两侧,左右对称,是面部五官的重要组成部分之一。外耳突出且固定的位置使其极易受到损伤。耳廓外伤急诊就诊时,须对其损伤原因充分了解,快速准确地判断组织损伤程度,及时采取预防坏死及感染的措施,避免加重皮肤及软骨的血运障碍和由此继发的感染或无菌性炎症,导致遗留明显的耳廓瘢痕及畸形,这对后续治疗方案的选择也可以提供良好的基础。虽然目前对于耳廓外伤的急诊管理方法时有报道,但是仍然没有达成共识。本文广泛查阅近年来国内外关于对耳廓外伤的急诊管理方法的相关研究,对耳廓外伤早期处理要点及手术方法作一综述。The external ear is an intricate structure composed of a delicate framework of thin cutaneous tissue and cartilage.In the light of the protruded shape and location,the ear was particularly vulnerable to various damages.The plastic surgeon must know about the damage reasons and details to judge the damage degree and take timely measures to prevent further necrosis and infection in emergency room,which also can provide a good basis for the selection of subsequent therapeutic regimen.Although the emergency management of auricular trauma has been reported in many articles,a consensus has not been reached.Subsequently,we investigated and summarized the original research papers extensively to report the main points of early treatment of auricular trauma and surgical methods.

关 键 词：耳廓外伤 急诊处理 血肿 软骨膜炎 

分 类 号：R764.81[医药卫生—耳鼻咽喉科]