耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
頭部外傷に伴う耳出血・鼓室内血腫に対する早期処置
梅田 悦生木村 元俊
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1985 年 31 巻 3 号 p. 461-465

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Our experience in the treatment of twelve cases with ear bleeding and hemotympanum caused by head trauma has indicated strongly that the following early procedure is effective in such cases: 1. Cleanse the external auditory canal quickly after the injury and ascertain the site of bleeding. If the bleeding is due to injury of the external auditory canal, try to stop bleeding. If this fails, insert a piece of gauze and retry hemostasis the next day. 2. When the bleeding stops, insert gauze with antibiotic ointment in order to prevent the external auditory canal from local infection, and remove it the following day. 3. If the hemotympanum still exists even a week after the injury, incise the eardrum. 4. Administer bilateral inner ear anaesthesia about ten days after the injury, even if positional nystagmus does not appear. 5. Hearing and caloric examinations should invariably be done in cases with ear bleeding.
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