Jones I, Moulton C
Department of Accident and Emergency Medicine, Royal Bolton Hospital, Farnworth, Lancashire.
J Accid Emerg Med. 1998 Sep;15(5):327-8. doi: 10.1136/emj.15.5.327.
To introduce an electric ear syringe into an emergency department and evaluate its use in the removal of foreign bodies from the external auditory canal.
Report of the use of a new device (the Propulse electric ear syringe) in an emergency department with a retrospective audit of the management of all cases of aural foreign bodies during one year.
Almost 60% of the 84 patients who presented with foreign bodies in the auditory canal were children. Staff chose to treat over half of all patients with aural foreign bodies with the electric ear syringe. The overall success rates for the removal of the foreign bodies were: electric syringe, 93% in adults and 88% in children and instrumentation, 68% in adults and 50% in children.
Irrigation with an electric ear syringe is an effective method of removing foreign bodies from the external auditory canal. The device tested was safe, inexpensive, easy to use, and readily acceptable to both adults and children. The availability of an electric ear syringe in an emergency department can avoid the need for specialist referral and the subsequent removal of foreign bodies under general anaesthesia.
将电动耳注射器引入急诊科,并评估其在清除外耳道异物中的应用。
报告在急诊科使用一种新设备(Propulse电动耳注射器)的情况,并对一年中所有外耳道异物病例的处理进行回顾性审核。
84例外耳道有异物的患者中近60%为儿童。工作人员选择使用电动耳注射器治疗超过半数的外耳道异物患者。异物清除的总体成功率为:电动注射器,成人93%,儿童88%;器械操作,成人68%,儿童50%。
使用电动耳注射器冲洗是清除外耳道异物的有效方法。所测试的设备安全、便宜、易于使用,且成人和儿童都易于接受。急诊科配备电动耳注射器可避免转诊至专科医生处以及后续在全身麻醉下清除异物的需求。