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病例女,12岁。因雷电击伤意识不清半小时,伴四肢抽搐,双耳道流血入院。查体:呼吸26次/分,脉搏98次/分,血压90/45mmHg,心率98次/分,神经系统病理征未引出,右耳廓01cm×01cm 贯穿伤,双耳鼓膜中央裂开,裂口整齐,有血迹,双耳听力下降,纯音测听示右 AC=54dB,左AC=28dB。左上臂、腰部散在皮肤缺损创面,基底红润,为浅Ⅱ度,面积约4%。诊断:①电击伤4%浅Ⅱ度并休克。②双耳鼓膜穿孔伤。③双耳混合性耳聋。给予补液抗感染及神经营养药物。双外耳道酒精棉球消毒,保持干净,外耳道塞酒精棉球,一天更换一次,烧伤创面简单清创,外用氯霉
Case female, 12 years old. Due to thunder and lightning wound half an hour of consciousness, with limbs convulsions, ear canal bloodshed. Examination: Breathing 26 beats / min, pulse 98 beats / min, blood pressure 90 / 45mmHg, heart rate 98 beats / min, the nervous system pathological sign does not lead to the right auricle 01cm × 01cm through the injury, central ear, Tidy, blood, hearing loss of both ears, pure audiometry showed right AC = 54dB, left AC = 28dB. Left upper arm, the waist scattered in the skin defect wounds, the base rosy, shallow Ⅱ degree, an area of about 4%. Diagnosis: ① electric injury 4% shallow Ⅱ degree and shock. ② ear tympanic membrane perforation injury. ③ binaural mixed deafness. Give rehydration anti-infective and neurotrophic drugs. Double external ear canal alcohol cotton ball disinfection, to keep clean, the external auditory canal plug alcohol cotton balls, replaced once a day, simple wound debridement wounds, topical Chloramphenicol