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1 临床资料我们从1996年10月至2000年6月共收治外伤性鼓膜穿孔患者202例,年龄最小8岁,最大65岁,男性89例,女性113例,全部为单耳穿孔;均以耳痛、耳聋、耳鸣来诊治。小穿孔(直径2mm以内)90例,中等穿孔(2～4mm)75例,大穿孔(4～6mm)37例,全部是紧张部穿孔,其中中央性穿孔189例,边缘性穿孔13例。就诊时间大部分为1～7天,超过1周的只有12例,最长者为66天。穿孔分为干性穿孔(无感染)和感染性穿孔。干性穿孔者鼓膜略充血或色泽正常,穿孔连缘只有极少量的血丝或缺如,边缘清楚。感染性穿孔者鼓膜充血,穿孔边缘不整齐,鼓室内有血性分泌物或渗出物。
1 clinical data We from October 1996 to June 2000 were treated traumatic tympanic membrane perforation in 202 patients, the youngest 8 years old, maximum 65 years old, 89 males and 113 females, all single ear perforation; Pain, deafness, tinnitus to diagnosis and treatment. There were 90 cases with small perforation (2mm in diameter), 75 cases with medium perforation (2-4mm) and 37 cases with large perforation (4-6mm). All of them were perforation of the tension part, among which 189 were central perforation and 13 were marginal perforation. Most of the treatment time is 1 to 7 days, more than 1 week only 12 cases, the longest 66 days. Perforation is divided into dry perforation (no infection) and infectious perforation. Dry perforation of the tympanic membrane slightly normal or normal color, perforation edge only a very small amount of bloodshot or missing, the edge clear. Infectious perforation tympanic membrane congestion, irregular perforation edge of the tympanic cavity with bloody discharge or exudate.