Hitosugi Masahito, Motozawa Yasuki, Kido Masahito, Yokoyama Tomoko, Kawato Hitoshi, Kuroda Kiyotsuna, Tokudome Shogo
Department of Legal Medicine, Dokkyo University School of Medicine, Mibu, Tochigi 321-0293, Japan.
Forensic Sci Int. 2006 May 25;159(1):51-4. doi: 10.1016/j.forsciint.2005.06.006. Epub 2005 Aug 1.
To investigate the relationship between pregnancy outcome and injury severity of pregnant woman in traffic accidents.
We reviewed insurance reports of traffic accidents and collected data on injuries of pregnant women and outcomes of their pregnancies.
A total of 135 pregnant women, with a mean injury severity score of 1.8+/-4.0, were involved in traffic accidents from 1994 through 2003. Injury severity score, abdominal abbreviated injury scale score were significantly higher in women whose neonates died than in women with healthy newborns. However, neither the likelihood of having been subjected to direct external forces during the accident nor injury severity differed between women with spontaneous abortions and woman with healthy newborns.
Predicting abortion on the basis of maternal injury severity is difficult. Because unknown variables may contribute to fetal loss, further studies of traffic injuries are needed.
探讨交通事故中孕妇的妊娠结局与损伤严重程度之间的关系。
我们回顾了交通事故保险报告，并收集了孕妇损伤及妊娠结局的数据。
1994年至2003年期间，共有135名孕妇遭遇交通事故，平均损伤严重程度评分为1.8±4.0。新生儿死亡的女性其损伤严重程度评分、腹部简明损伤定级标准评分显著高于新生儿健康的女性。然而，自然流产的女性与新生儿健康的女性在事故中遭受直接外力的可能性及损伤严重程度方面并无差异。
根据母体损伤严重程度预测流产很困难。由于可能存在未知变量导致胎儿丢失，因此需要对交通伤进行进一步研究。
