在发达国家,车祸极为频繁,约有75%伤及头部,而耳是最易遭受损害的感觉器官。如伤势严重,首先要注意维护生命,保持呼吸道通畅,控制出血和预防休克。病情稳定后,需行神经系检查,包括神态和脑神经。查耳时要注意无菌操作,除非有大量出血,一般不宜填塞耳道。必须判断面部运动,如发现面瘫,还应记录发生时间。要作X线常规检查,尤其是对有脑脊液耳漏或鼻漏、听力下降或面瘫的病人,还需行CT详查。【临床所见】颞骨骨折一般分为纵向型和横向型两类,前者较后者多见,约为5∶1,局限于 In developed countries, car accidents are extremely frequent, with about 75% of injuries to the head, while the ear is the most vulnerable sensory organ. Such as serious injuries, we must first pay attention to maintaining life, keep the airway open, control bleeding and prevent shock. After the condition is stable, the need for neurological examination, including the demeanor and cranial nerves. Charlie should pay attention to aseptic operation, unless there is a large number of bleeding, generally should not stuffed ear canal. Must determine the facial movement, such as facial paralysis, should also record the time of occurrence. X-ray routine examination to be done, especially for patients with cerebrospinal fluid otorrhea or rhinorrhea, hearing loss or facial paralysis, CT detailed examination is also required. [Clinical findings] Temporal bone fractures are generally divided into two types of vertical and horizontal type, the former more common than the latter, about 5: 1, is limited to