{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1001","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1001","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为您提供:耳膜穿孔怎么办_鼓膜穿孔治疗方法_鼓膜穿孔最佳治疗方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"耳膜穿孔怎么办_鼓膜穿孔治疗方法_鼓膜穿孔最佳治疗方法","title":"耳膜穿孔怎么办_鼓膜穿孔治疗方法_鼓膜穿孔最佳治疗方法","channels":null},"data":{"list":[{"id":"11830","isDel":0,"createAt":1516958739259,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"专家向您解答鼓膜穿孔治疗前的注意事项","content":"

 

在平时，我们要加强卫生宣教，对于耳部的清洁，应禁用火柴杆、发卡等锐器挖耳。取外耳道异物或耵聍时要细心、适度，避免伤及鼓膜。遇及爆破情况如炸山、打炮、放鞭炮等，可用棉花或手指塞耳，如戴防护耳塞效果更佳。如果出现鼓膜外伤破裂穿孔，是可自行愈合的。因鼓膜两面都有丰富的由外向内相互吻合的血管，修复能力是很强的。但必须注意以下几点，否则被细菌感染，引起化脓性中耳炎，治疗就更加困难了：

\"专家向您解答鼓膜穿孔治疗前的注意事项\" 


(1)一定记住要保持外耳道清洁干燥。外伤后即可用酒精消毒外耳道，擦净和取出外耳道异物、耵聍等。不要取下附在鼓膜上的血痂。以免引起细菌感染。用消毒的棉花轻轻塞在外耳道口，以防脏物进入耳内，引起感染。

 

(2)不论何时，禁止用水冲洗外耳道，也不要用任何处方物滴耳，因为这样不但无益，相反可使细菌进入中耳引起感染。

 

(3)不要用力擤鼻涕，如有鼻涕，可吸入口中吐出。也可服些消炎处方物，以免感染。如果发生感染，引起化脓性中耳炎，要按中耳炎进行治疗。

 

找良医网温馨提示：如有身体不适，请及时就医！


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鼓膜穿孔是很严重的耳部疾病，引起鼓膜穿孔的因素有很多，如外伤、大气压力变化、异物进入中耳等等。鼓膜穿孔可引起听力丧失危害大。因此，当患者出现任何听力异常时，应积极到医院诊治，那么，鼓膜穿孔怎么治疗呢？下面跟找良医网一起来看一下：

\"从专家角度看耳朵鼓膜穿孔能治吗\" 


据统计，常见的鼓膜穿孔患者，大多是由于感冒诱发中耳炎没有得到有效控制，或者是由于挖耳朵失误所导致的鼓膜穿孔。另外 婴幼儿哺乳期间，由于婴幼儿鼓膜脆弱，有些婴幼儿呕奶后致耳流脓也能导致鼓膜穿孔。鼓膜穿孔不及时治疗，会使听力进一步下降。如不适当用，还可引起内耳神经功能下降，更难医治。更为严重的是，中耳反复发炎可导致骨疡型或胆脂瘤型中耳炎，骨头受侵蚀时有可能导致面神经 瘫、脑膜炎、脑脓肿等颅内外并发症，甚至有生命危险。所以，尽早治疗，可以使患者尽早康复，切不可大意！

 

找良医网温馨提示：综上所述，鼓膜穿孔的危害性确实不小，对人们的有害影响颇大，其实，鼓膜穿孔不可怕，可怕的是延迟治疗。如果出现耳部异常，一定及时就医检查。

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大家在耳鼻喉科一些科室中，常常见到类型不一样的鼓膜穿孔病人。造成鼓膜穿孔的原因非常多，最主要的还是鼓膜菲薄易受外力的冲击而破裂有关。那么鼓膜穿孔了怎么办，又该怎么治疗呢？

 

\"专家为您解答鼓膜穿孔产生的疾病该如何治疗\"


鼓膜穿孔的治疗方法：

　

1、药物治疗：一般药物疗法主要是经过抗菌、排脓、消肿以达到缩小穿孔的目的，但是单纯的药物治疗不是很容易实现穿孔的愈合，极易复发。

　

2、传统手术治疗，是要在耳内或耳后开刀，取自体组织植入鼓膜位置。　

 

3、如果是因为外伤所导致穿孔且无感染，会用消毒干棉球塞耳道，应当使用抗菌素预防感染，局部不用滴耳药。

 

最后，找良医网祝您身体健康！


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\"鼓膜穿孔后的治疗方法\"


(1)如有中耳炎症流脓，应予抗炎治疗，急性阶段要全身应用抗菌素，局部用2.5%氯霉素滴耳液或0.3%氧氟沙星滴耳液作耳浴。

 

(2)若因外伤所致穿孔无感染，可用消毒干棉球塞耳道，应用抗菌素预防感染，局部不用滴耳药。

 

(3)治疗已达于耳2-3个月，鼓膜穿孔仍末愈合者(外伤性穿孔1个月)需做专笠检查(包括耳镜，听力，鼻腔，鼻咽部，咽鼓管功能检查)，如有条件者可作鼓室成形术，以保存或提高听力。

 

对于中耳炎症久治不愈或有肉芽生长，或在鼓膜松驰部或紧张部边缘性穿孔者，应予XA线摄片或CT扫描明确病变性质的范围，手术清除病灶先求得干耳，而后再按条件选择性地作鼓室成形术。外伤性穿孔有可能自行愈合，如1-2个月后不自愈，青岛正规耳鼻喉科医院就医。


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在耳鼻喉科门诊中，经常见到各种不同类型的鼓膜穿孔病人。有的是因感冒致急性中耳炎穿孔，或挖耳不慎挖穿;有些婴幼儿因哺乳不当，呕奶后致耳流脓;甚至打球时被球或手撞耳，吵架被人刮巴掌，鞭炮震耳也可引起鼓膜穿孔;偶尔还可见昆虫入耳引起鼓膜穿孔……

\"鼓膜穿孔应该如何急救\"

 

鼓膜穿孔使中耳与外界相通，在游泳、洗头或挖耳时细菌容易进入引发中耳炎。反复中耳炎会使鼓膜穿孔增大、中耳粘连硬化，使听力进一步下降。如不适当用药，还可引起内耳神经功能下降，更难医治。更为严重的是，中耳反复发炎可导致骨疡型或胆脂瘤型中耳炎，骨头受侵蚀时有可能导致面神经瘫、脑膜炎、脑脓肿等颅内外并发症，甚至有生命危险。

 

鼓膜穿孔的病人应到医院耳鼻喉专科检查鼓膜穿孔的部位、范围、病因。必要时须做电测听及双耳乳突照片等检查。如果有骨疡型、胆脂瘤型中耳炎，须尽早做手术清除病灶，防止并发症;如果中耳仅为单纯性炎症，则须及时合理治疗，使之尽快干水。对鼓膜穿孔又无流脓的病人，经医生检查，看能否施行鼓膜修补术。

 

如能修补好鼓膜，是最好不过的，它不仅可提高听力，还可重新建立一道屏障，防止中耳炎反复发作及避免长期使用滴耳药引起耳毒性损害。鼓膜修补的方法有手术及烧灼两种：手术方法是在耳内或耳后开刀，取自体组织植入鼓膜位置，此法适用于鼓膜大穿孔或听骨缺损、中断或早期胆脂瘤等病人。烧灼方法是在鼓膜穿孔边缘涂上一种特殊的药水，刺激鼓膜生长。此法无须开刀，简便易行，门诊可做。每次5～10分钟，基本不痛。但须7～10天复诊及再烧灼一次，直到鼓膜愈合为止。鼓膜穿孔符合烧灼法的条件是：1.患耳干水1～3个月以上(无流脓);2.鼓膜为紧张部穿孔;3.中耳无肉芽、粘连、上皮化等;4.电测听为传导性聋;5.咽鼓管功能正崐常;6.无其他慢性病或传染病，等等。

 

对于一些不愿修补鼓膜的人，或因年龄小、身体欠佳、路途遥远暂不能修补鼓膜的人，须谨记下列要点：

 

1.防水入耳，不能游泳，洗头、洗澡时可用消毒棉球塞住耳道口;

 

2.慎挖耳朵，用不洁器具挖耳易将细菌带入;

 

3.慎防感冒，中耳炎的发作通常都是由感冒引起;

 

4.防止不恰当的擤鼻，如捏两鼻孔用力排鼻涕，易将鼻的分泌物经咽鼓管挤压到中耳引起发炎，应堵一侧鼻孔轻轻喷鼻涕;

 

5.加强营养，适当锻炼，注意休息，提高免疫力;

 

6.定期到医院检查，发现问题及早处理。


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