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yxgaxjlywf · Wysłany: Nie 10:58, 13 Mar 2011 Temat postu: qtt vno sgi zrp

Burn complicated by suppurative ear chondritis treatment of 15 cases

Necrosis caused by abnormal defects. In recent years, the clinical total of 15 cases encountered in ear only after burn complicated by 2o suppurative ear chondritis patients to take . Are presented below. General information on clinical data 1 l1 l5 patients in this group, 12 patients were male and 3 female down, aged 13 - 55 years. Total 2O ear injuries only accounted for 7% over the same period ear burn, the Department of hydrothermal flame burns or burns, or deep as the deep Ⅱ Ⅲ Ⅱ degree burn coexist. The disease mostly occurs in the course of 2 to 3 weeks, the patient basically stable general condition, began to dissolve necrotic tissue removal, one of the 3 cases occurring in wound healing. Main symptoms: sudden severe external ear persistent pain; outer ear swelling, tenderness obvious; body temperature; blood showed high white blood cell. 1.2 the course of treatment if it is found in burn patients continued Sui v. ear pain, outer ear swelling, tenderness, the diagnosis of the basic set up. Before the abscess has not yet formed, should be given time to reduce tension drainage incision. Incision pain, redness and swelling along the helix or at the most obvious line longitudinal incision, subcutaneous appropriate separation, the shallow depth of cartilage. If you can not achieve the decompression should be cut cartilage, but not stripping cartilage, so as not to aggravate cartilage ischemia. If abscess has formed, should have been clear cut ear cartilage necrosis, cut flush with hydrogen peroxide after the incision, pressure to stop bleeding after the antibiotic solution, rinse, cut 1:3 or antibiotics within the iodoform gauze packing small drainage, to prevent the cut 1:3 prematurely closed. Incision length must be adequate, separate the skin should be appropriate to achieve both adequate drainage, not for the purpose of increasing cartilage ischemia. After the appropriate incision and drainage bandage, change every subsequent Et dressings, antibiotics, washing solution to the profile of healing. Dressing process if there is residual necrosis of cartilage should be removed. 1:3 cut is not long enough, the impact of drainage, it is timely to extend cut 1:3 or otherwise assisted incision drainage. 2 Treatment Results in 20 ear, 15 ear infection control by the above processing, by dressing lO ~ l5 times healing, ear shape were good; 3 necrosis more ear cartilage, the more defects after Taiwan However, residual part of the ear to maintain normal ear cranial angle, of which two ear for deep burns, ear cartilage defects with large and multiple recurrent wound healing, then incision and drainage, removal of necrotic cartilage, healing after microtia. 3 appreciate the outstanding ear for the facial area, in facial and body burns easily burn. With burns acute illness, early to save lives based on 43 * after burn complicated by suppurative inflammation of the ear cartilage is not enough emphasis on prevention, in addition to the anatomical characteristics of the ear itself, burns if handled improperly, complicated by purulent inflammation of ear cartilage, resulting in ear cartilage infection and necrosis, the formation of defects in deformed ear. In the course of treatment this group of cases we think that to seize the 3.1 is the early prevention of infection and pressure after burn complicated by suppurative inflammation of the main reasons for the ear cartilage. The course of great importance in burn wound treatment of ear, timely removal of necrotic tissue in the skin source permitting early skin grafting to prevent infection, keep the wound clean and dry to avoid ear pressure is the main measures of prevention. 3.2 The early detection and early diagnosis if the patient complaints persistent ear pain, should be on high alert, if ear swelling, local tenderness was, the diagnosis of the basic set up. And abscess formation has been advanced at this time have been part of the ear cartilage necrosis. 3.3 Early cut to reduce tension drainage once the diagnosis was established, which should immediately cut to reduce tension drainage, abscess formation after incision and drainage should not wait. Early in the past to chart the use of local physical therapy to improve local blood circulation, rubbed, or 10% of SD-Ag sulfa Myron and systemic application of antibiotics to control infection with little success of conservative treatment often leads to most of the cartilage necrosis. Incision and drainage is necessary to fully and completely. Clearly necrotic cartilage, removal of as much as possible when cut clean, but has not been fully removed to avoid necrosis of the cartilage, so as not to cause more cartilage defects can be in the next dressing change at any time after a careful examination of the cartilage removed necrotic tissue has indeed . Remember that the process of dressing and antibiotic solution with hydrogen peroxide irrigation of local, small incision placed gauze iodoform or antibiotics to prevent premature closure of incision, resulting in poor drainage. We believe that an early cut to reduce tension drainage is the treatment of suppurative inflammation of the ear cartilage Guan Jian, will help to improve local blood supply, is conducive to drainage. Can control the infection, ear cartilage and avoid further ischemia, infection and necrosis, best to preserve cartilage. Local physical therapy, topical antibiotics and systemic antibiotic therapy drugs, because the ear itself and burns blood supply is poor, often less than the purpose of infection control, the effect is very small. Therefore, we believe that once diagnosed, should be promptly cut to reduce tension 1:3 drainage, topical antibiotics. I Received :2000-09-15) (This article Editor: Wang Shihua)

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