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1 病例报告 1.1 一般情况 患者男,42岁。施工中不慎滑倒,右耳部碰至埋在地上的钢管。右耳当即严重断裂,伤后7h来我院就诊。检查:右耳廓沿耳廓根部完全断离,仅在耳廓上端有一1cm宽的皮蒂与头颅相连,耳廓多处不规则撕裂。创面已被泥沙污染,有凝血块,并有少许渗血。耳廓下端及耳垂皮肤色泽暗淡。创面边缘不齐,断缘皮肤卷曲变硬,软骨断缘破碎,部分缺损。诊断:右耳廓严重断离伤。
1 Case Report 1.1 General Male patient, 42 years old. Inadvertent slippage during construction, the right ear touched the pipe buried in the ground. The right ear immediately severely ruptured, 7h after injury to our hospital. Check: The right auricle along the auricle root completely broken away, only the top of the pinna has a 1cm wide Pitti connected with the skull, auricle irregular tearing. The wound has been contaminated with sediment, clotting, and a little bleeding. Lower extremities and earlobe skin color dull. Wound edge of the wound, cut off the skin curls harden, broken cartilage broken, some defects. Diagnosis: a serious right ear off injury.