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2 结果分析 2.1 各种外伤连年居高不下,以车祸致伤居多,意外伤害次之。本组661例,其中男548例,女113例。年龄最小4岁,最大65岁,平均26.74岁。 2.2 小儿急性喉炎以2岁以下幼儿多见。由于抗生素、激素的广泛应用,气管切开率和病死率明显减少。本组321例,气管切开3例,占0.9％,死亡1例,占0.3％。1例死亡患儿因乡镇医院误诊为喘息性肺炎转来我院后经抢救无效死亡。 2.3 急性扁桃体炎、急性中耳炎及鼻窦炎逐渐减少。其原因为近年农村卫生保健事业发展,业务水平不断提高,疾病分流。 2.4 梅尼埃病以往多由内科治疗,近年来由于基层医院增强了专科意识,提高了诊断符合率,从而扩大了病源。我院于1992年增设了高压氧,使突聋的治愈率大大提高,其次,农村生活水平提高亦是一个重要因素。 3 讨论与建议 3.1 提倡功能性手术。过去,鼻息肉的治疗以单纯息肉切除术为主,复发率很高。近年来我们根据鼻窦CT扫描,了解病变范围,行筛窦、上颌窦切除术,效果较佳。目前,鼻窦内窥镜已在大、中型医院普遍使用,它具有损伤、痛苦小,保留功能等优点,亦是我们基层医院发展目标。
2 Analysis of the results 2.1 The number of injuries sustained year after year was high, most of them were injuries caused by traffic accidents, followed by accidental injuries. This group of 661 cases, including 548 males and 113 females. The youngest is 4 years old and the oldest is 65 years old with an average of 26.74 years old. 2.2 Pediatric acute laryngitis is more common in children under 2 years of age. Due to the widespread use of antibiotics and hormones, the rate of tracheotomy and mortality are significantly reduced. The group of 321 cases, tracheotomy in 3 cases, accounting for 0.9%, 1 death, accounting for 0.3%. One child with death died because of misdiagnosis as a wheezing pneumonia in the township hospital. 2.3 Acute tonsillitis, acute otitis media, and sinusitis are gradually reduced. The reason for this is the development of rural health care in recent years. The business level has been continuously improved and the disease has been diverted. 2.4 Meniere’s disease has been treated by internal medicine in the past. In recent years, primary hospitals have increased specialist awareness and improved the diagnostic compliance rate, thereby expanding the source of the disease. Our hospital added hyperbaric oxygen in 1992 to greatly increase the cure rate of Turkic and secondly, the improvement of rural living standards is also an important factor. 3 Discussion and recommendations 3.1 Promote functional surgery. In the past, nasal polyps were treated with simple polypectomy and the recurrence rate was high. In recent years, we have performed CT scans of the sinuses to understand the extent of the lesions and performed ethmoid sinus and maxillary sinus resection. The results are better. At present, sinus endoscopy has been widely used in large and medium-sized hospitals. It has the advantages of injury, pain, retention, etc. It is also the goal of our primary hospital development.