Evans T C, Hecker J, Zaiser D K
Division of Emergency Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212.
J Emerg Med. 1988 Sep-Oct;6(5):387-9. doi: 10.1016/0736-4679(88)90011-x.
Three cases of hemotympanum that resulted from spontaneous, atraumatic epistaxis are presented. Hemotympanum is a well known physical finding associated with traumatic basilar skull fractures but has not been reported to follow spontaneous nose bleeds that have not been previously treated with nasal packing. A discussion of epistaxis and hemotympanum is presented, and their implication for emergency physicians is discussed.
本文报告了3例由自发性、非外伤性鼻出血导致的血鼓室病例。血鼓室是一种与外伤性颅底骨折相关的常见体征，但此前未见有未经鼻腔填塞治疗的自发性鼻出血后出现血鼓室的报道。本文对鼻出血和血鼓室进行了讨论，并探讨了它们对急诊医生的意义。
