Marchi A G, Messi G, Costantinides F, Loschi L, Porebski E
Servizio di Pronto Soccorso e Primo Accoglimento, IRCCS Istituto per l'Infanzia, Trieste.
Minerva Pediatr. 1990 Nov;42(11):465-72.
Traffic-related injuries to children are poorly known in our country, in spite of their role in mortality and morbidity. Being that they are rather different from those reported in the adults, their study is useful in identifying risks and elaborating prevention strategies. This paper reports epidemiologic and clinical data on 1050 children under 16, referred to our hospital because of road traffic accidents. The study has been prospectively carried out during 1984-86; injuries severity was assessed according to the Abbreviated Injury Scale. Incidence rates resulted to increase with the age, highest values being observed for 15 year old children, due to motorcycle use. Patterns and severity of the injuries were significantly different according to the age and the group of injured subjects. Younger children as pedestrians and 14-15 y.o. motorcyclists resulted to be more involved than car passengers and bicyclists. At a telephone inquiry after 6-12 months sequelae resulted in 20-40% out of 482 children, according to different AIS Score.
尽管交通相关儿童伤害对死亡率和发病率有影响，但在我国却鲜为人知。由于这些伤害与成人所报告的情况有很大不同，对其进行研究有助于识别风险并制定预防策略。本文报告了1050名16岁以下因道路交通事故转诊至我院儿童的流行病学和临床数据。该研究于1984 - 1986年前瞻性开展；损伤严重程度根据简略损伤量表进行评估。发病率随年龄增长而上升，15岁儿童因骑乘摩托车而发病率最高。损伤的类型和严重程度因年龄和受伤对象群体而异。年龄较小的儿童作为行人以及14 - 15岁的骑摩托车者比汽车乘客和骑自行车者更容易受伤。在6 - 12个月后的电话随访中，根据不同的AIS评分，482名儿童中有20% - 40%出现了后遗症。
