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作者回顾性研究鼓膜和中耳灼伤患者36例,均为成年男性。根据其穿孔大小分成三度,Ⅰ度为紧张部穿孔面积在25%以下;Ⅱ度为紧张部穿孔面积达25～50%或累及二个象限的多发性穿孔;Ⅲ度为紧张部穿孔面积在50%以上或至少有三个象限的多发性穿孔。治疗包括抗生素、磺胺和抗组织胺等药物,并根据需要在显微镜下吸除中耳腔分泌物每日一次或多次。本文患者约有90%继发感染。经数月后在遗留穿孔的患者中有4例作了鼓室成形术。 36例经治疗后鼓膜愈合情况:Ⅰ度组共19例,14例(74%)鼓膜完整愈合,5例后遗穿
The authors retrospectively studied 36 patients with tympanic membrane and middle ear burns, all of whom were adult males. According to its perforation size is divided into three degrees, Ⅰ degree of tension in the perforated area of 25% or less; Ⅱ degree of tension for 25 to 50% of the perforation area or involving two quadrants of multiple perforation; Ⅲ degree of tension in the perforated area Multiple perforations of more than 50% or at least three quadrants. Treatment includes antibiotics, sulfonamides and antihistamines and other drugs, and according to the need to suck the middle ear secretions under the microscope one or more times a day. About 90% of the patients in this paper have secondary infection. After a few months, tympanoplasty was performed in 4 of the patients who left behind perforation. 36 cases of healing of tympanic membrane after treatment: Ⅰ degree group, a total of 19 cases, 14 cases (74%) of the tympanic membrane healed completely, 5 cases after the wear