Tavakoli Hassan, Khashayar Patricia, Amoli Hadi Ahmadi, Esfandiari Khalil, Ashegh Hossein, Rezaii Jalal, Salimi Javad
Department of Surgery, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Emerg Med. 2011 Mar;40(3):340-5. doi: 10.1016/j.jemermed.2009.10.024. Epub 2010 Jan 25.
Fireworks are the leading cause of injuries such as burns and amputations during the Persian Wednesday Eve Festival (Chaharshanbeh Soori).
This study was designed to explore the age of the high-risk population, the type of fireworks most frequently causing injury, the pattern of injury, and the frequency of permanent disabilities.
This cohort study was performed by Tehran Emergency Medical Services at different medical centers all around Tehran, Iran, in individuals referred due to firework-related injuries during 1 month surrounding the festival in the year 2007. The following information was extracted from the patients' medical records: demographic data, the type of fireworks causing injury, the pattern and severity of the injury, the pre-hospital and hospital care provided for the patient, and the patient's condition at the time of discharge. In addition, information on the severity of the remaining disability was recorded 8 months after the injury.
There were 197 patients enrolled in the study with a mean age of 20.94 ± 11.31 years; the majority of them were male. Fuse-detonated noisemakers and homemade grenades were the most frequent causes of injury. Hand injury was reported in 39.8% of the cases. Amputation and long-term disability were found in 6 and 12 cases, respectively. None of the patients died during the study period.
The fireworks used during a Chaharshanbe Soori ceremony were responsible for a considerable number of injuries to different parts of the body, and some of them led to permanent disabilities.
在波斯周三前夕节（查哈尔尚贝·索里节）期间，烟花是烧伤和截肢等伤害的主要原因。
本研究旨在探讨高危人群的年龄、最常导致伤害的烟花类型、伤害模式以及永久性残疾的发生率。
这项队列研究由德黑兰紧急医疗服务部门在伊朗德黑兰各地的不同医疗中心进行，研究对象为2007年该节日前后1个月内因烟花相关伤害而转诊的个体。从患者的病历中提取了以下信息：人口统计学数据、导致伤害的烟花类型、伤害的模式和严重程度、为患者提供的院前和院内护理，以及出院时患者的状况。此外，在受伤8个月后记录了剩余残疾的严重程度信息。
共有197名患者参与了该研究，平均年龄为20.94±11.31岁；其中大多数为男性。导火索引爆的噪音制造器和自制手榴弹是最常见的致伤原因。39.8%的病例报告有手部受伤。分别有6例和12例出现截肢和长期残疾。在研究期间没有患者死亡。
查哈尔尚贝·索里节仪式上使用的烟花导致了身体不同部位的大量伤害，其中一些导致了永久性残疾。
