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患者男,28岁。耳廓被咬去3/4,伤后5h 来院急诊。检查见右耳廓3/4完全断离,仅残留耳垂。离体耳廓呈苍白色,创面与软骨断缘参差不齐。耳廓创面有凝血块,并有少量出血,边缘不整齐。入院后即用生理盐水及3%双氧水反复冲洗断耳及耳廓创面,将断耳伤口边缘修剪整齐,将软骨创缘去除1mm 后,将断耳置入庆大霉素盐水(250ml 生理盐水加入16万 U 庆大霉素)20min,耳廓创面彻底消毒清创并止血。断耳及耳廓创面清创时,既要彻底去除污染的皮肤及软骨,又不轻易舍去完好的皮肤及软骨,以防愈
Male patient, 28 years old. Pinna was bitten to 3/4, 5h after injury to hospital emergency room. Check see the right ear completely 3/4 off, leaving only the earlobe. Isolated auricle was pale, wounds and cartilage uneven edge. Auricle wounds clot, and a small amount of bleeding, irregular edges. Immediately after admission with saline and 3% hydrogen peroxide repeated wash ears and ear wounds, the edge of the severed ear cut trimmed, remove the cartilage edge 1mm, the broken ear into gentamicin saline (250ml saline added 16 million U gentamicin) 20min, auricular wounds thoroughly disinfect debridement and stop bleeding. Broken ears and ear wound debridement, it is necessary to completely remove the contaminated skin and cartilage, but also not easy to give up intact skin and cartilage to prevent