分娩时Valsalva术并发鼓室积血。

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2023-01-01 DOI:10.1155/2023/3328895
Tali Teitelbaum, Isaac Shochat, Golda Grinblat, Mohamad Taha, Itzhak Braverman
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引用次数: 0

摘要

背景:在产程第二阶段,Valsalva手法引起的耳部气压损伤可能导致鼓室积血。鼓膜(TM)上的压力差约为5psi就会导致破裂。在第二产程中反复出现的“推压”表现为胸内和腹内压力峰值的增加,很容易接近(并可能超过)这个水平。临床表现。本病例报告描述了一位健康的37岁多胞胎患者,在孕40周入院接受常规随访,随后进入主动分娩,随后出现听力充盈和血性耳漏。光镜下耳镜检查证实右鼓膜充血。结论:强力缬沙可引起鼓室积血。研究推入方法的优缺点有助于减少此类并发症的发生。如果出现新的产后听力障碍或血性耳漏,应要求耳鼻喉科医生及时进行评估。
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Hemotympanum as a Complication of a Valsalva Maneuver during Childbirth.

Background: Hemotympanum may occur due to otic barotrauma secondary to Valsalva maneuver during the second phase of labor. A pressure differential across the tympanic membrane (TM) of about five psi can cause rupture. The increased intrathoracic and intraabdominal pressure spikes repeatedly manifested by "pushing" during second-stage labor easily approach (and may exceed) this level. Clinical Presentation. This case report describes a healthy thirty-seven-year-old multipara patient admitted for the 40-weeks' gestational age routine follow-up that proceeded to active labor followed by an aural fullness and bloody otorrhea. Otoscopic examination with a light microscope confirmed the hemotympanum of the right tympanic membrane.

Conclusion: Forceful Valsalva can cause hemotympanum. Investigating the benefits and disadvantages of the pushing methods could help reduce such complications in the future. A prompt evaluation of an otolaryngologist should be requested in the event of a new postpartum hearing disturbance or bloody otorrhea.

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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
自引率
0.00%
发文量
20
审稿时长
13 weeks
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