Karaman Ibrahim, Karaman Ayşe, Aslan Mustafa Kemal, Erdoğan Derya, Cavuşoğlu Yusuf Hakan, Tütün Ozden
Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
Surg Today. 2009;39(7):572-4. doi: 10.1007/s00595-008-3931-3. Epub 2009 Jun 28.
To evaluate childhood bicycle handlebar injuries.
We evaluated retrospectively 14 patients who presented with bicycle handlebar injuries within a 3-year period. Bicycle injuries not caused by the handlebar were excluded.
The mean age of the patients was 8.8 +/- 2 years (range, 5-12 years) and 79% were boys. The injuries comprised gastrointestinal perforation in 21%, traumatic abdominal hernia in 21%, and spleen laceration in 14%. The three children with intestinal perforation and the one with a penetrating abdominal injury underwent surgery, whereas the others were treated medically. An isolated traumatic abdominal hernia resolved spontaneously. There was no mortality.
Although bicycle handlebar injuries occur at relatively low speeds, the transfer of energy from the end of the handlebar, with a small cross-sectional area, to a small field leads to intra-abdominal injuries that are more severe than predicted. Thus, bicycle handlebar injuries should be considered as a serious intraabdominal injury until proven otherwise.
评估儿童自行车车把损伤情况。
我们回顾性评估了3年内因自行车车把损伤前来就诊的14例患者。排除非车把所致的自行车损伤。
患者的平均年龄为8.8±2岁（范围5 - 12岁），79%为男孩。损伤包括21%的胃肠道穿孔、21%的创伤性腹疝和14%的脾裂伤。3例肠穿孔患儿和1例腹部穿透伤患儿接受了手术，其他患儿接受保守治疗。1例孤立性创伤性腹疝自行缓解。无死亡病例。
尽管自行车车把损伤发生时速度相对较低，但车把末端较小横截面积的能量传递至较小区域会导致比预期更严重的腹腔内损伤。因此，在未得到其他证实之前，自行车车把损伤应被视为严重的腹腔内损伤。
Zotero 插件