Sinus barotraum 鼻竇氣壓傷
(Tintinalli's Emergency Medicine)
鼻竇氣壓傷 SINUS BAROTRAUMA
鼻竇開口如果阻塞, 氣體無法在下潛過程進入鼻竇平衡壓力, 會導致疼痛, 黏膜水腫, 黏膜下出血, 黏膜自骨頭表面剝離, 常造成血流至潛水面鏡, 罕見情況可能會引起眼下神經分支感覺異常
相似的外傷性神經病變會發生於中耳氣壓傷造成的顏面神經損傷.
治療方式以保守治療為主, 包括抗充血藥物(抗組織胺). 可能需抗生素
If the ostia to the sinuses are occluded, air cannot enter the sinuses during descent to equalize the increasing pressure. This causes pain and mucosal edema and can lead to submucosal hemorrhage and stripping of the sinus mucosa from bone, hemorrhage (often causing bleeding from the nose into the mask), and, rarely, paresthesias in the infraorbital nerve distribution. A similar traumatic neuropathy can occur to the facial nerve with middle ear barotrauma. Sinus barotrauma is treated with conservative
measures, including decongestants and, possibly, antibiotics.
鼻竇氣壓傷 SINUS BAROTRAUMA
鼻竇開口如果阻塞, 氣體無法在下潛過程進入鼻竇平衡壓力, 會導致疼痛, 黏膜水腫, 黏膜下出血, 黏膜自骨頭表面剝離, 常造成血流至潛水面鏡, 罕見情況可能會引起眼下神經分支感覺異常
相似的外傷性神經病變會發生於中耳氣壓傷造成的顏面神經損傷.
治療方式以保守治療為主, 包括抗充血藥物(抗組織胺). 可能需抗生素
If the ostia to the sinuses are occluded, air cannot enter the sinuses during descent to equalize the increasing pressure. This causes pain and mucosal edema and can lead to submucosal hemorrhage and stripping of the sinus mucosa from bone, hemorrhage (often causing bleeding from the nose into the mask), and, rarely, paresthesias in the infraorbital nerve distribution. A similar traumatic neuropathy can occur to the facial nerve with middle ear barotrauma. Sinus barotrauma is treated with conservative
measures, including decongestants and, possibly, antibiotics.
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