47 cases of ear infection in the treatment of burn experience.docVIP

 PAGE \* MERGEFORMAT 11 47 cases of ear infection in the treatment of burn experience Author: Wang Li-yun Huang Hua Zhengmao Wang Zhen Zhang Zhuo-Ming Zhang inter - 【Key Words】 ear burn Ear burn infection is common in severe head and face burned, often for multiple bacterial infections and showed more severe multi-drug resistance [1], improper treatment can cause ear malformations and aural atresia. Undergraduate since 2003, a total of 47 cases successfully treated such patients, are summarized below. A clinical data 1.1 General Information 47 cases of patients, 15 patients from a hospital burn treatment centers, 32 cases of burn patients from outside the hospital, admitted to the time from September 2003 to June 2007. 41 cases were male and 6 females, aged 5 years to 69 years old (mean 29 years), burns the longest time 1.5 months, minimum 1 week, both deep-II, III degree burns, burns eight cases of combined auditory canal. Auricle burn ward are living separately administered. 1.2 Treatment Immediately after admission in patients with partial treatment, a prominent place in the swelling and low-cut, take pus sending bacterial culture sensitivity test to remove purulent secretion and necrosis of cartilage, granulation tissue at the same time try to keep a healthy ear cartilage. Incision should be large enough to facilitate a clear distinction between necrotic tissue and dynamic organization. With a large number of sterile saline wash, put skin graft drainage, thin-layer sterile dressing covered with local non-use of antibiotics flushing. Empirical use of anti-Gram-negative bacteria, broad-spectrum antibiotics, intravenous anti-infection, swelling, severe short-term use of dexamethasone 3 ~ 5d, 5mg / d, generally not more than 1 week; be bacterial culture and drug sensitivity The results came out to switch to a ~ 2 kinds of sensitive antimicrobial agents while using the drug scopolamine alkali microcirculation; s