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作者提出对待鼓膜外伤性穿孔的态度有三种:1.待其自行愈合;2.立刻手术;3.根据病史、局部检查及听力检查以决定处理方法。作者同意第三种态度。作者指出:病史询问要详尽,需了解其致病原因及有无异物进入鼓室的可能性。局部用放大镜或显微镜检查,对异物可疑者应详细记录鼓室内有无异物存在。鼓膜穿孔如合并炎症,必须迅速控制感染,修补开始于干耳后一周.因为炎症后反应有利于愈合。纯音气、骨导测听可明确听骨链是否完整。鼓膜穿孔部贴上纸片后如听力增进及气-骨导差明显缩短,可以说明听骨链完整及功能良好;如贴上纸片后听力变坏及气-骨导
The authors propose to treat traumatic perforation of the tympanic membrane in three ways: 1. To be self-healing; 2. Immediate surgery; 3. According to history, local examination and hearing tests to determine the treatment. The author agrees with the third attitude. The author states: medical history should be detailed, need to understand its causes and whether there is the possibility of foreign body into the tympanum. Partially with a magnifying glass or microscopy, suspicious of foreign bodies should be detailed records of the presence of foreign body tympanic chamber. Tympanic membrane perforation, such as inflammation, must be promptly controlled infection, repair began a week after the dry ear, because the inflammatory response is conducive to healing. Pure tone, bone conduction test can be clearly sonicated chain is complete. Perforation of the tympanic membrane attached to the piece of paper such as hearing enhancement and gas-bone conduction was significantly shorter, you can explain the integrity of the ossicular chain and good function; such as paste the paper after hearing loss and gas - bone conduction