Sgarlato Anthony, Deroux Stephen J
New York City Office of Chief Medical Examiner, New York, NY 10016, USA.
J Forensic Sci. 2010 Mar 1;55(2):527-30. doi: 10.1111/j.1556-4029.2009.01270.x. Epub 2010 Jan 11.
Despite the implementation of numerous safety devices in automobiles, vehicular occupant fatalities following collisions remain common. We reviewed all fatalities of vehicular occupants in New York City over a 5-year period on whom autopsies were performed (437) to determine the incidence of neck injuries and correlate them with seat belt utilization; 26.5% had neck injuries (mild to severe) and only 10.3% of these occupants were confirmed to be wearing seatbelts. Of those that had documentation of seat belt utilization there were twice as many neck injuries in the unbelted group. We highlight two cases of submarining with severe neck injuries that were related to automatic 2-point shoulder harness restraints without engagement of the lap belt.
尽管汽车中已安装了众多安全装置，但碰撞后车内乘客死亡事件仍很常见。我们回顾了纽约市5年间所有进行尸检的车内乘客死亡案例（共437例），以确定颈部损伤的发生率，并将其与安全带使用情况相关联；26.5%的死者有颈部损伤（轻度至重度），而这些乘客中只有10.3%被证实系了安全带。在有安全带使用记录的乘客中，未系安全带组的颈部损伤人数是系安全带组的两倍。我们着重介绍了两例“滑出”案例，患者颈部受重伤，这与自动两点式肩部安全带约束装置未系上腰部安全带有关。
