Letts R M, Mardirosian A
Can Med Assoc J. 1977 May 21;116(10):1151-3.
Over an 8-year period 31 children in the Winnipeg area were admitted to hospital with lawnmower injuries. The accidents were always preventable and were caused by patient or parent carelessness. The wounds were severe, often resulting in amputation of a portion of an extremity. Infection was common; prophylaxis with a broad-spectrum antibiotic and human antitetanus globulin is recommended. Radiography, débridement of the wound with thorough exploration under general anesthesia, and defatting and reapplication of degloved skin should be done initially, then the wound should be reinspected and redressed at 2 to 3 days, and finally closed or skin grafted at 6 to 8 days. Children must be educated about the dangers of lawnmowers and prevented from riding on tractor mowers. The grass catcher should be used and the path cleared of missiles. Hand controls should be mounted on the mower's handle and the blade should be kept sharp so that the machine's speed can be reduced.
在8年时间里，温尼伯地区有31名儿童因割草机伤害入院。这些事故都是可以预防的，是由患者或家长的粗心大意导致的。伤口严重，常导致肢体部分截肢。感染很常见；建议使用广谱抗生素和人破伤风球蛋白进行预防。最初应进行放射检查、在全身麻醉下彻底探查伤口并进行清创、对脱套皮肤进行去脂和重新应用，然后在2至3天对伤口进行再次检查和换药，最后在6至8天进行伤口缝合或植皮。必须对儿童进行割草机危险性教育，并防止他们乘坐牵引式割草机。应使用集草器，并清除路径上的杂物。应在割草机手柄上安装手动控制装置，刀片应保持锋利，以便降低机器速度。
