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1983年我科开始采用了耳廓(翼)彻底清创、一期塑形的手术方法,治疗耳廓化脓性软骨膜炎12例,均取得了较为满意的效果,现报告如下。临床资料12例患者均由烧伤、挫伤、耳裂伤治疗不当感染所致。年龄18～50岁,均为男性。病史半个月至2个月。其特点是病变范围大,均占耳廓3/4左右,就诊时为急性化脓期。其中有3例耳廓皮肤已自行破溃流脓,2例切开换药达2月之久不愈,其余7例均采用过全身抗炎治疗未愈。多数因病情日趋加重、疼痛难忍而来我院治疗。6例做了细菌培养,均为绿脓杆菌感染。
In 1983, our department began to use a complete debridement of auricle (wing), a surgical operation, treatment of auricular purulent perichondritis in 12 cases, have achieved more satisfactory results are as follows. Clinical data 12 patients were burns, contusion, ear laceration due to improper treatment of infection. Age 18 to 50 years old, are men. History of half a month to 2 months. It is characterized by a large range of lesions, accounting for about 3/4 of the auricles, acute pus for treatment. Among them, 3 cases of auricle skin have ruptured themselves pus, 2 cases of switching dressing up to 2 months long unhealed, the remaining 7 cases were used systemic anti-inflammatory treatment did not heal. Due to the increasing severity of the majority of pain unbearable to our hospital. 6 cases of bacterial culture, are Pseudomonas aeruginosa infection.