简介:ObjectivePatientswithunilateraleardischargeandhearinglossoftenhaveexternalormiddleeardiseases.Wepresenta55-year-oldmanwhosufferedfrompersistenteardischargeandhearinglossintheleftear.Localfindingsshowedthathisleftearcanalwasfilledwithalargeamountofgranulationtissue,withpurulent,foul-smellingdischarge.Computedtomographyindicatedleftmiddleearcholesteatomaandmassshadowintheleftexternalauditorycanal.Modifiedradicalmastoidectomywasperformed.Apieceofwhiteplasticstickwasfoundinthemiddleearduringtheoperation.Foreignbody-inducedcholesteatomaandexternalauditorycanalgranulomainadultsareveryrare.Wepresentthisrarecasesothattheseconditionscanbebetterrecognizedandunderstood.
简介:呼吸道异物指喉、气管和支气管异物,是耳鼻咽喉科常见急重症之一,多发生于儿童,尤以1~5岁为常见,3岁以下者更为多见。其严重程度取决于异物的性质和造成气道阻塞的程度,轻者可造成肺部损害,重者为猝死的原因之一。因此,防止和妥善处理其并发症,一直为耳鼻咽喉科医务人员所重视。儿童气管、支
简介:摘要目的探讨依托咪酯复合瑞芬太尼在老年困难食道异物取出术中的麻醉效果和安全性。方法随机将50例患者分为两组,A组采用依托咪酯、瑞芬太尼、复合全凭静脉非气管插管全身麻醉。B组采用丙泊酚、芬太尼、复合全凭静脉非气管插管全身麻醉。观察两组麻醉对血液动力学的影响。结果AB两组SBP(收缩压),HR(心率),手术前,手术中,术毕比较P<0.05为差异有统计学意义。结论瑞芬太尼在老年困难食道异物取出术全身麻醉中应用是安全可靠的。