James E C, Lenz J O, Swenson W M, Cooley A M, Gomez Y L, Antonenko D R
Department of Surgery, University of North Dakota School of Medicine, Grand Forks 58203.
Am Surg. 1991 Jun;57(6):349-53.
Records of 88 patients with snowmobile injuries from 1977 to 1987 were reviewed to identify the types of trauma. Data collected included age, sex, method and degree of injury, use of safety attire, and risk factors. There were 77 males and 11 females. Seventeen (19.3%) were children under the age of 16. Poor driving judgment involved in the hitting of obstacles led to the majority of injuries. There were 106 fractures in 71 patients. Eighteen patients (25%) had more than one fracture. Eleven patients had loss of consciousness. Eighty-eight other injuries resulted for a total of 205 injuries. There were three fatalities. Results indicate that inexperience, prior use of alcohol, driver carelessness, excessive speed, and poor adherence to manufacturer recommendations were the leading contributors to the accidents.
回顾了1977年至1987年88例雪地摩托受伤患者的记录,以确定创伤类型。收集的数据包括年龄、性别、受伤方法和程度、安全着装的使用情况以及风险因素。其中男性77例,女性11例。17名(19.3%)为16岁以下儿童。撞到障碍物时驾驶判断失误导致了大多数损伤。71例患者中有106处骨折。18例患者(25%)有多处骨折。11例患者失去意识。另外还有88处损伤,总计205处损伤。有3例死亡。结果表明,缺乏经验、先前饮酒、驾驶员粗心、超速以及未严格遵循制造商建议是事故的主要促成因素。