闪电引起损伤相当常见,但导致耳部损伤的报道却很少。作者们曾见到两个女性病例:甲20岁,乙48岁,居住相距数百米。于15小时前大雷雨时,正互相打电话中被雷击倒在地,但未失去知觉,创伤后两人都有单侧耳鸣及听力减退。检查见患者甲左耳鼓膜有两个小穿孔,患者乙右侧鼓膜次全穿孔,外耳道或残余鼓膜均无烧伤迹象,无自发性眼震或面神经麻痹,电测听均有很轻的传导性聋,表明听骨链完整。两患者颈及肩部皮肤都有梭形雷击烧伤。伤后20小时将残破鼓膜予以 Lightning damage is quite common, but reports of ear damage are rare. The authors have seen two female cases: A 20 years old, B 48 years old, living hundreds of meters apart. When a thunderstorm occurred 15 hours ago, they were struck by lightning while they were talking to each other, but they did not lose their consciousness. Both of the two had unilateral tinnitus and hearing loss after the trauma. Check the patient A left eardrum with two small perforation, the patient B perforation of the right tympanic membrane, external auditory canal or remnant tympanic membrane no signs of burns, no spontaneous nystagmus or facial paralysis, electrical audiometry has a very light conductivity Deaf, indicating complete integrity of the ossicular chain. Both patients have a spindle and shoulder skin lightning stroke burns. 20 hours after injury will be broken eardrum to be