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患者,女,54岁,被他人咬断左耳廓约20小时20分钟,送我院就诊。见左耳廓上部约1/3缺损,断端少许渗血,对耳屏、外耳道正常。离断残体苍白、无体温。处理:将离断组织用3%双氧水清洗,存放于等渗生理盐水中备用。消毒、铺巾,2%普鲁卡因局部麻醉(禁加入肾上腺素),将断离耳廓清创,将离体组织与植床仔细对位,用6-0丝线,先缝合几个主要位点,然后再逐渐缝合。缝合不宜太紧,仅缝合皮肤,勿穿透软骨。术后观察见原断离耳廓部分,皮肤颜色由苍白渐红润,温度由冰冷、无体
Patient, female, 54 years old, was cut off by his left ear about 20 hours and 20 minutes, sent to our hospital. See the upper part of the left ear about 1/3 of the defect, a little oozing on the stump, the tragus, external auditory meatus normal. Off broken pale, no body temperature. Treatment: The severed tissue was washed with 3% hydrogen peroxide, stored in isotonic saline for use. Disinfection, shop towels, 2% procaine local anesthesia (banned adrenaline), will be removed from the auricle debridement, the excised tissue and carefully placed on the bed, with 6-0 silk thread, the first suture of several major bits Point, and then gradually sewing. Suture should not be too tight, only suture the skin, do not penetrate the cartilage. After surgery, see the original broken away from the part of the ear, the skin color from pale gradually rosy, the temperature from the cold, no body