Kraus Jess F, Peek-Asa Corinne, Cryer H Gill
Southern California Injury Prevention Research Center, School of Public Health, University of California, Los Angeles 90024-2884, USA.
J Trauma. 2002 Mar;52(3):548-53. doi: 10.1097/00005373-200203000-00022.
Although severe head injuries have been reduced with helmet use, little has been done to address the severity of trauma to organs of the trunk in motorcycle crashes. We detail the frequency, severity, and pattern of intrathoracic and intra-abdominal injuries that may be helpful in the recognition and medical treatment of such injuries.
Diagnostic and treatment information from emergency room, hospital, and coroner records from a cohort of motorcyclists injured from 1991 to 1992 were obtained from 28 hospitals and 11 coroners in California.
Multiple intrathoracic and intra-abdominal injuries were common, and the number and bilaterality of rib fractures were strongly associated with chances of injuries to the thoracic and abdominal organs.
Patients with severe injury in one anatomic region of the trunk are very likely to have severe injuries in the same or other anatomic regions. These patients are best treated in trauma centers, where rapid diagnosis and treatment are possible.
尽管使用头盔已减少了严重头部损伤，但在解决摩托车碰撞中躯干器官创伤的严重程度方面进展甚微。我们详细阐述了胸内和腹内损伤的频率、严重程度及模式，这可能有助于此类损伤的识别和医学治疗。
从加利福尼亚州的28家医院和11名验尸官处获取了1991年至1992年受伤的一组摩托车手的急诊室、医院及验尸官记录中的诊断和治疗信息。
胸内和腹内多处损伤很常见，肋骨骨折的数量和双侧性与胸腹部器官受伤的几率密切相关。
躯干某一解剖区域严重受伤的患者很可能在同一或其他解剖区域也有严重损伤。这些患者最好在能进行快速诊断和治疗的创伤中心接受治疗。
