Nelson R Scott, Gustafson Paul T, Szlabick Randolph E
Department of General Surgery, Marshfield Clinic, Marshfield, Wisconsin 54449, USA.
J Trauma. 2006 Jun;60(6):1297-300. doi: 10.1097/01.ta.0000174662.28239.f8.
Risk of deer motorcycle collisions (DMC) continues to increase in Midwestern and East Coast States and is a growing regional public health issue.
We conducted a retrospective chart review of all motorcycle collisions involving animals over a 9-year period from October 1993 to October 2002. Data collected included Injury Severity Score (ISS), injury type, outcome, use of helmets/alcohol, time of year/day.
Fifty-five DMC were identified, 49 drivers, and 6 passengers. ISS for helmeted patients was 6.02+/-4.6 and 17.6+/-14.9 for non-helmeted patients. There were 7 human fatalities (all without helmets). Of the 55 patients, 16% of those injured were intoxicated, without helmets, and had average ISS higher than those non-intoxicated. Head, chest and orthopedic extremity trauma accounted for >70% of injuries seen within the entire population. Incidence peaked in June/July, and 55% of the collisions occurred between the hours of 1800 and 2200.
DMC are a significant public health issue in mid-western states. Education about helmet and alcohol use and safety on rural roads may be the best prevention. Continued research focusing on prevention is necessary.
在中西部和东海岸各州，鹿与摩托车碰撞事故（DMC）的风险持续上升，这是一个日益严重的区域性公共卫生问题。
我们对1993年10月至2002年10月这9年期间所有涉及动物的摩托车碰撞事故进行了回顾性图表审查。收集的数据包括损伤严重程度评分（ISS）、损伤类型、结果、头盔/酒精使用情况、一年中的时间/一天中的时间。
共识别出55起鹿与摩托车碰撞事故，其中49名驾驶员，6名乘客。戴头盔患者的ISS为6.02±4.6，未戴头盔患者为17.6±14.9。有7人死亡（均未戴头盔）。在55名患者中，16%的受伤者醉酒、未戴头盔，且平均ISS高于未醉酒者。头部、胸部和骨科四肢创伤占整个人口中所见损伤的70%以上。发病率在6月/7月达到峰值，55%的碰撞事故发生在18:00至22:00之间。
鹿与摩托车碰撞事故在中西部各州是一个重大的公共卫生问题。关于头盔和酒精使用以及农村道路安全的教育可能是最好的预防措施。有必要继续开展侧重于预防的研究。
