Shepherd Michael, Hamill James, Segedin Elizabeth
Children's Emergency Department, Starship Children's Hospital, Auckland, New Zealand.
Emerg Med Australas. 2006 Feb;18(1):57-63. doi: 10.1111/j.1742-6723.2006.00809.x.
To highlight the injuries that result from lap-belt use and make recommendations for prevention, the recent experience of a regional paediatric trauma centre was reviewed.
Retrospective review of admissions to Starship Children's Hospital from 1996 to 2003, with significant injury following involvement in a motor vehicle crash, while wearing a lap-belt. Patients were identified from two prospectively collected databases and discharge coding data.
In total, 19 patients were identified over the 7 year period. The morbidity sustained includes 15 patients with hollow viscus injury, 13 laparotomies, 7 spinal fractures, 2 paraplegia and 1 fatality. A total of 11 patients required laparotomy with a median delay of 24 h. Of patients in the present series, 58% were aged less than 8 years and thus were inappropriately restrained.
Lap-belt use can result in a range of life-threatening injuries or permanent disability in the paediatric population. The incidence of serious lap-belt injury does not appear to be decreasing. Morbidity and mortality could be reduced by the use of three-point restraints, age appropriate restraints and booster seats.
为强调使用安全带导致的损伤并提出预防建议，回顾了一家地区性儿科创伤中心的近期经验。
对1996年至2003年期间因卷入机动车碰撞事故且系安全带后受重伤而入住星舰儿童医院的患者进行回顾性研究。通过两个前瞻性收集的数据库和出院编码数据来识别患者。
在这7年期间共识别出19例患者。所遭受的发病率包括15例中空脏器损伤患者、13例剖腹手术、7例脊柱骨折、2例截瘫和1例死亡。共有11例患者需要进行剖腹手术，中位延迟时间为24小时。在本系列患者中，58%年龄小于8岁，因此约束不当。
使用安全带可导致儿科人群出现一系列危及生命的损伤或永久性残疾。严重安全带损伤的发生率似乎并未下降。使用三点式安全带、适合年龄的约束装置和增高座椅可降低发病率和死亡率。
