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对涉及手部的工业事故的洞察。

An insight into industrial accidents involving the hand.

作者信息

Abdullah S, Jaafar J M, Das S, Sapuan J

机构信息

Department of Orthopaedics, Faculty of Medicine, Universiti Kebangsan, Malaysia (UKM).

出版信息

Clin Ter. 2009;160(6):427-33.

Abstract

BACKGROUND

Industrial hand injuries are a common occurrence and contributes to a large segment of workers' morbidity. The main aim of this study was to look into the day pattern, types and location of upper limbs injures, identify the types of machines involved and highlight the treatment received.

MATERIALS AND METHODS

The present study was performed on 57 industrial workers admitted and treated by the Orthopaedic team of Universiti Kebangsaan Malaysia Medical Centre (UKMMC) for acute injuries sustained whilst working.

RESULTS

The majority of the workers were male (93%). The commonest age group involved was between 25-35 years (48%). The right hand was injured more then the left with majority of injuries involving the fingers. Interestingly, we also observed that injuries occurred more on Saturdays. Laceration was the most common injury followed by fractures and crush injuries. Treatment depends on the type and severity of injuries. For most lacerated wounds, treatment was debridement, primary suturing and antibiotic therapy. Injuries on Saturdays indicated that workers needed a longer time break especially during weekends after a long hectic week.

CONCLUSIONS

Injuries sustained by workers may be prevented by proper working techniques and conditions together with wearing of protective gadgets.

摘要

背景

工业手部损伤很常见,是导致工人发病的重要原因。本研究的主要目的是探究上肢损伤的日间模式、类型和部位,确定所涉及的机器类型,并强调所接受的治疗。

材料与方法

本研究对马来西亚国民大学医学中心(UKMMC)骨科团队收治并治疗的57名因工作时遭受急性损伤的产业工人进行。

结果

大多数工人为男性(93%)。最常涉及的年龄组为25 - 35岁(48%)。右手受伤多于左手,大多数损伤累及手指。有趣的是,我们还观察到周六受伤的情况更多。撕裂伤是最常见的损伤,其次是骨折和挤压伤。治疗取决于损伤的类型和严重程度。对于大多数撕裂伤伤口,治疗方法是清创、一期缝合和抗生素治疗。周六受伤表明,在漫长忙碌的一周后,工人尤其在周末需要更长时间的休息。

结论

通过适当的工作技术和条件以及佩戴防护装备,可以预防工人受伤。

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