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耳鼻气压伤在潜水作业中时有发生,常因临床疏忽致漏诊而未及时处理而影响预后。最近笔者及时诊治耳鼻气压伤12例,效果满意。报告如下。 12例发生于同次潜水作业的54名潜水员中,年龄18～34岁。其中中耳气压伤8例,下潜时发生4例,上升时发生3例,高压舱内减压时发生1例。鼻窦气压伤4例,下潜及上升时各发生2例。8例中耳气压伤者,均于潜水深度30米时感觉耳闷胀、阻塞感和不太剧烈的耳痛;60米时感耳剧痛难忍,疼痛放射到颞部及面颊。检查:耳膜穿孔2例,耳膜充血明显,穿孔呈线状或月牙状,位于紧张部,穿孔边缘有血迹及血痂附着。血鼓室及鼓室积液3例,耳膜明显充血,积血者耳膜呈紫兰色,积液者可见液平面及小气泡。全耳膜充血明显内陷2例,耳膜轻度充血内陷1例。听力检查:8例均有传音性耳聋。鼻窦气压伤4例均于上升、下潜过程中感觉鼻塞及上颌窦
Otolaryngological crush in diving operations occur from time to time, often due to clinical negligence caused by missed diagnosis and timely treatment affect the prognosis. The recent diagnosis and treatment of ear and nose and nose crusade in 12 cases, the effect is satisfactory. The report is as follows. Twelve of the 54 divers who took part in the same diving operation were aged 18 to 34 years. There were 8 cases of middle-pressure barotrauma, 4 cases of dive, 3 cases of ascending, 1 case of decompression in hyperbaric chamber. Sinus barotrauma in 4 cases, dive and ascent each occurred in 2 cases. 8 cases of middle-air barotrauma were found in the diving depth of 30 meters, feeling fullness, obstruction and less severe earache; 60-meter ear painful pain, pain radiating to the temporal and cheek. Check: 2 cases of eardrum perforation, eardrum congestion was obvious perforation was linear or crescent-shaped, located in the Department of tension, perforated edge of blood and blood clots attached. Blood drum and tympanic effusion in 3 cases, the eardrum was hyperemia, hemorrhagic eardrum was purple, effusion were visible liquid level and small bubbles. Edentulous edema significantly invagination in 2 cases, mild erection invagination in 1 case. Audiometry: 8 cases have acoustic deafness. Sinus air pressure injury in 4 cases were on the rise, the process of feeling nasal obstruction and maxillary sinus