一项针对前往儿科急诊部门就诊的疑似意外耳部损伤患者的前瞻性调查。
A prospective survey of patients with presumed accidental ear injury presenting to a paediatric accident and emergency department.
作者信息
Steele B D, Brennan P O
机构信息
Accident and Emergency Department, Sheffield Children's Hospital, Sheffield, UK.
出版信息
Emerg Med J. 2002 May;19(3):226-8. doi: 10.1136/emj.19.3.226.
OBJECTIVES
To assess the characteristics of assumed accidental ear injury in children.
METHODS
A prospective survey of 111 children presenting with accidental external or internal ear injuries to a paediatric accident and emergency department.
RESULTS
The majority of patients were male (73%). Right and left sided injuries were equally common (51% right, non-bilateral). Presentation with accidental ear injury was very rare in children under the age of 1 year (n=1). Most patients were self referred (98%), and presented within six hours of injury (84%). The mechanism of injury was variable, but cotton bud induced injury was common (7%). The most common injuries were lacerations of the pinna, in 63 patients (56%). Fourteen per cent had blood in the external canal. Only three patients required admission.
CONCLUSIONS
Lacerations are the commonest form of accidental ear injury. Ear injuries that are bilateral and in children less than 1 year of age are rare and may suggest non-accidental injury. Cotton bud induced injury is common and preventable.
目的
评估儿童假定意外耳部损伤的特征。
方法
对一家儿科急诊部门收治的111例意外性外耳或内耳损伤儿童进行前瞻性调查。
结果
大多数患者为男性（73%）。左右侧损伤同样常见（右侧51%，非双侧）。1岁以下儿童意外耳部损伤的情况非常罕见（n = 1）。大多数患者是自行前来就诊（98%），且在受伤后6小时内就诊（84%）。损伤机制多种多样，但棉签导致的损伤较为常见（7%）。最常见的损伤是耳廓撕裂伤，共63例（56%）。14%的患者外耳道有血。仅3例患者需要住院治疗。
结论
撕裂伤是意外耳部损伤最常见的形式。双侧耳部损伤以及1岁以下儿童的耳部损伤很少见，可能提示非意外性损伤。棉签导致的损伤很常见且可预防。
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