Crockett Andrew, Stawicki Stanislaw P, Thomas Yalaunda M, Jarvis Amy M, Wang Cecily F, Beery Paul R, Whitmill Melissa L, Lindsey David E, Steinberg Steven M, Cook Charles H
Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Columbus, Ohio, USA.
Am Surg. 2010 Sep;76(9):1006-10.
Although the prevailing stereotype is that most hunting injuries are gunshot wounds inflicted by intoxicated hunting buddies, our experience led us to hypothesize that falls comprise a significant proportion of hunting related injuries. Trauma databases of two Level I trauma centers in central Ohio were queried for all hunting related injuries during a 10-year period. One hundred and thirty patients were identified (90% male, mean age 41.0 years, range 17-76). Fifty per cent of injuries resulted from falls, whereas gunshot wounds accounted for 29 per cent. Most hunters were hunting deer and 92 per cent of falls were from tree stands. Alcohol was involved in only 2.3 per cent, and drugs of abuse in 4.6 per cent. Of gunshots, 58 per cent were self-inflicted, and 42 per cent were shot by another hunter. Tree stand falls were highly morbid, with 59 per cent of fall victims suffering spinal fractures, 47 per cent lower extremity fractures, 18 per cent upper extremity fractures, and 18 per cent closed head injuries. Surgery was required for 81 per cent of fall-related injuries, and 8.2 per cent of fall victims had permanent neurological deficits. In contrast to prevailing beliefs, in our geographic area tree-stand falls are the most common mechanism of hunting related injury requiring admission to a Level 1 trauma center.
尽管普遍存在的刻板印象是，大多数狩猎受伤是由醉酒的狩猎伙伴造成的枪伤，但我们的经验使我们推测，跌倒在与狩猎相关的伤害中占很大比例。我们查询了俄亥俄州中部两个一级创伤中心的创伤数据库，以获取10年期间所有与狩猎相关的伤害信息。共确定了130名患者（90%为男性，平均年龄41.0岁，范围17 - 76岁）。50%的伤害是由跌倒造成的，而枪伤占29%。大多数猎人在猎鹿，92%的跌倒是从树上的狩猎架上跌落。只有2.3%的事故涉及酒精，4.6%涉及滥用药物。在枪伤中，58%是自我造成的，42%是被另一名猎人击中的。从树上狩猎架跌落造成的伤害非常严重，59%的跌落受害者患有脊椎骨折，47%有下肢骨折，18%有上肢骨折，18%有闭合性头部损伤。81%与跌倒相关的伤害需要手术治疗，8.2%的跌倒受害者有永久性神经功能缺损。与普遍看法相反，在我们所在的地理区域，从树上狩猎架跌落是最常见的与狩猎相关的伤害机制，这类伤害患者需要入住一级创伤中心。
