O'Brien K, Poenaru D
Department of Surgery, Queen's University, Kingston, Ont.
CMAJ. 1999 Feb 9;160(3):353-4.
Sledding accidents are frequent and vary in severity. Penetrating sledding injuries are uncommon but may be devastating. Snow-racers--sleds with both steering and braking devices--may be associated with an increased rate of injury. The authors present 2 cases of lower-torso penetrating trauma associated with the use of snow-racers. Both cases involved penetration--of the perineum in one case and the inguinal area in the other--by wooden sticks. Both patients recovered fully after prompt surgical intervention. The authors suggest that the absence of a protective panel at the front of the snow-racer may result in the sledder's lower torso being more exposed to objects encountered while sledding. The injuries reported raise concerns about the safety of modern sleds and the possibility that design changes are needed.
雪橇事故频发，严重程度各异。穿透性雪橇伤并不常见，但可能具有毁灭性。雪上赛车式雪橇（即带有转向和制动装置的雪橇）可能与受伤率增加有关。作者报告了2例与使用雪上赛车式雪橇相关的下半身穿透性创伤病例。两例均涉及木棍穿透伤，一例为会阴部，另一例为腹股沟区。两名患者经及时手术干预后均完全康复。作者认为，雪上赛车式雪橇前部缺少防护板可能导致雪橇使用者的下半身在滑行时更容易接触到障碍物。所报告的这些损伤引发了对现代雪橇安全性的担忧，以及是否需要进行设计改进的思考。
