Karbakhsh-Davari Mojgan, Khaji Ali, Salimi Javad
Sina Trauma and Surgery Research Center, Medical Sciences/Tehran University, Tehran, Iran.
Arch Iran Med. 2008 Jan;11(1):94-7.
Herein, we reviewed the pattern and mechanisms of injuries resulting from bicycle accidents in Tehran. During one year of trauma registry in six general hospitals, 8,000 trauma patients who had sustained injuries within a week before admission and hospitalized for more than 24 hours were studied. Bicycle injuries comprised 2.1% (n=170) of all cases admitted during the studied period. Males were injured more often than females (M:F ratio=8:1). Seventy-seven point one percent of the patients were younger than 20 years. None of the patients had used helmets while being injured. A considerable proportion of accidents occurred between 6 and 8 PM. The most common season of bicycle accidents were summer (55.2%) and spring (24.8%). Seventy-six (44.7%) patients sustained injuries in collision with other vehicles (cars, motorcycles, etc). Four patients died of severe head injuries. Thirteen (8.1%) patients had injury severity score of >16 (severe injury). The mean duration of hospital stay was 5.2 (range: 1 - 52) days. Due to the fatal nature of head injuries and high incidence of fall/overturn injuries among bicycle riders, helmets should be worn by all riders, particularly young children. In addition, allocating a separate cycle path may reduce severe bicycle injuries.
在此，我们回顾了德黑兰自行车事故导致的损伤模式及机制。在六家综合医院为期一年的创伤登记期间，对入院前一周内受伤且住院超过24小时的8000名创伤患者进行了研究。自行车损伤占研究期间所有入院病例的2.1%（n = 170）。男性受伤的频率高于女性（男:女比例 = 8:1）。77.1%的患者年龄小于20岁。所有受伤患者均未佩戴头盔。相当一部分事故发生在下午6点至8点之间。自行车事故最常见的季节是夏季（55.2%）和春季（24.8%）。76名（44.7%）患者因与其他车辆（汽车、摩托车等）碰撞而受伤。4名患者因严重头部受伤死亡。13名（8.1%）患者的损伤严重程度评分>16（重伤）。平均住院时间为5.2天（范围：1 - 52天）。鉴于头部损伤的致命性以及自行车骑行者中摔倒/翻车受伤的高发生率，所有骑行者，尤其是儿童，都应佩戴头盔。此外，设置单独的自行车道可能会减少严重的自行车损伤。
