Dogan Kamil H, Demirci Serafettin, Sunam Guven S, Deniz Idris, Gunaydin Gursel
Department of Forensic Medicine, Meram Medical School, Selcuk University, 42080 Meram, Konya, Turkey.
Am J Forensic Med Pathol. 2010 Mar;31(1):64-8. doi: 10.1097/PAF.0b013e3181c21bf0.
Farm tractors are the major cause of occupational fatalities in agricultural regions. Fatalities typically result from being run over or crushed by the tractor, becoming entangled in the moving parts of the tractor, accidents on roadways, and tractor rollovers, which involve the tractor tipping sideways or backwards and crushing the operator. In this study, tractor-related fatalities in the Konya province of Turkey are retrospectively evaluated. Out of the 3940 cases on which a death examination and/or autopsy was performed between the years 2000 and 2007 at The Konya Branch of Forensic Medicine Council, 86 (2.2%) of the death cases were caused by tractor accidents and are included in this study. The ages of the victims varied between 3 and 80 years old with a mean age of 31.7 + or - 22.3. Sixty-eight (79.1%) of the cases involved males, while 18 (20.9%) of the cases involved females. In 32 (37.2%) of the cases, the deaths due to tractor accidents occurred when the tractor overturned. In 37 (43.0%) of the cases, the tractor-related fatalities involved the passengers and the drivers were involved in 34 (39.5%) of the cases. In conclusion, tractor accidents are preventable and deaths from tractor accidents can be significantly reduced if drivers are required to wear safety belts and helmets and frequent checks are implemented to enforce the ban on carrying passengers.
农用拖拉机是农业地区职业死亡的主要原因。死亡通常是由于被拖拉机碾压、卷入拖拉机的运转部件、道路交通事故以及拖拉机翻车(即拖拉机向侧面或向后翻倒并挤压操作员)所致。在本研究中,对土耳其科尼亚省与拖拉机相关的死亡事件进行了回顾性评估。在2000年至2007年间,法医委员会科尼亚分会对3940例进行了死亡检查和/或尸检的案例中,有86例(2.2%)死亡案例是由拖拉机事故造成的,并被纳入本研究。受害者年龄在3岁至80岁之间,平均年龄为31.7±22.3岁。其中68例(79.1%)涉及男性,18例(20.9%)涉及女性。在32例(37.2%)案例中,拖拉机事故导致的死亡是在拖拉机翻车时发生的。在37例(43.0%)案例中,与拖拉机相关的死亡涉及乘客,34例(39.5%)案例涉及驾驶员。总之,拖拉机事故是可以预防的,如果要求驾驶员系安全带和戴头盔,并经常进行检查以执行禁止载客的规定,那么拖拉机事故导致的死亡人数可以大幅减少。