Grisoni E R, Pillai S B, Volsko T A, Mutabagani K, Garcia V, Haley K, Schweer L, Marsh E, Cooney D
Rainbow Babies & Children's Hospital, Cleveland, OH 44106, USA.
J Pediatr Surg. 2000 Feb;35(2):160-2; discussion 163. doi: 10.1016/s0022-3468(00)90002-2.
BACKGROUND/PURPOSE: We sought to determine if properly restrained children, less than 13 years of age, placed in the front passenger seat are at greater risk for trauma from airbag deployment than unrestrained children.
The charts of children treated at any of 3 regional pediatric trauma centers in Ohio were reviewed for airbag injuries sustained in motor vehicle crashes between January 1995 and September 1998. Injury Severity Scores (ISS) were compared with Mann-Whitney Rank Sum Test and outcome data with Fisher's Exact Tests. Statistical significance was set at P< or =.05.
Twenty-seven children aged 1 month to 12 years sustained airbag-related injuries. Sixty-one percent were girls. ISS ranged from 1 to 75 with a mean score (+/- SD) of 10 (14.5). All crashes were at reported speeds of less than 45 mph, and 64% were head-on collisions. No significant differences in the mean ISS (P = .074) occurred between groups. Both groups had similar closed head, ocular and facial injuries, extremity fractures, and number of deaths (P = 1.0). Abdominal organ injury was exclusive to the restrained group. Decapitation only occurred among unrestrained children.
Our data showed that airbags, with or without proper safety restraints, can lead to mortality or serious morbidity in children.
背景/目的：我们试图确定，年龄小于13岁且坐在前排乘客座位上并正确使用安全带的儿童，与未系安全带的儿童相比，因安全气囊展开而遭受创伤的风险是否更高。
回顾了俄亥俄州3个地区儿科创伤中心中任何一家在1995年1月至1998年9月期间因机动车碰撞事故导致安全气囊损伤而接受治疗的儿童病历。采用曼-惠特尼秩和检验比较损伤严重程度评分（ISS），采用费舍尔精确检验比较结局数据。设定统计学显著性为P≤0.05。
27名年龄在1个月至12岁之间的儿童遭受了与安全气囊相关的损伤。61%为女孩。ISS范围为1至75，平均评分（±标准差）为10（14.5）。所有碰撞事故报告的车速均低于每小时45英里，64%为正面碰撞。两组之间的平均ISS无显著差异（P = 0.074）。两组的闭合性头部、眼部和面部损伤、四肢骨折及死亡人数相似（P = 1.0）。腹部器官损伤仅发生在系安全带组。斩首仅发生在未系安全带的儿童中。
我们的数据表明，无论是否正确使用安全约束装置，安全气囊都可能导致儿童死亡或严重发病。
