耳部炸弹爆炸伤：伦敦桥事件系列报道
Bomb blast injuries to the ear: the London Bridge incident series.
作者信息
Walsh R M, Pracy J P, Huggon A M, Gleeson M J
机构信息
Department of Otolaryngology-Head and Neck Surgery, Guy's Hospital, London, UK.
出版信息
J Accid Emerg Med. 1995 Sep;12(3):194-8. doi: 10.1136/emj.12.3.194.
Twelve patients who were treated for ear injuries at Guy's Hospital following the London Bridge bomb blast in February 1992 were reviewed. Among three there were four perforated eardrums, two of which closed spontaneously (50%). All three patients had a persistent mixed hearing loss. The remaining nine patients had acute sensorineural hearing loss and/or tinnitus only. Four of these had resolved completely by 4h, another one by 48h, and two by 4 weeks. Two patients had a residual high frequency hearing loss. In total, five patients (42%) have a persistent hearing loss. None of the patients suffered from balance problems. In summary, the ear is very susceptible to bomb blast injury, but there is a high rate of spontaneous closure of perforations and improvement of sensorineural hearing loss and tinnitus.
对1992年2月伦敦桥爆炸事件后在盖伊医院接受耳部损伤治疗的12名患者进行了回顾。其中3名患者有4处鼓膜穿孔，其中2处自行愈合（50%）。这3名患者均有持续性混合性听力损失。其余9名患者仅患有急性感音神经性听力损失和/或耳鸣。其中4名患者在4小时内完全恢复，另1名在48小时内恢复，2名在4周内恢复。2名患者有残留的高频听力损失。总共有5名患者（42%）有持续性听力损失。所有患者均未出现平衡问题。总之，耳部极易受到炸弹爆炸伤害，但鼓膜穿孔的自发闭合率以及感音神经性听力损失和耳鸣的改善率都很高。
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