Yanagawa Youichi
Department of Traumatology and Critical Care Medicine, National Defense Medical College (NDMC), Namiki Tokorozawa Saitama, Japan.
J Emerg Trauma Shock. 2011 Jul;4(3):333-6. doi: 10.4103/0974-2700.83838.
There is little data concerning the injuries induced by being run over in children.
Characteristics of injuries suffered in children by being run over were investigated.
Between January 1998 and December 2007, the medical charts were retrospectively reviewed to investigate characteristics of the injuries in pediatric patients run over by a car. Patients meeting the following criteria were included: (1) age ≤ 12 years old; (2) the patient was struck by an automobile. The subjects were divided into three groups by the mechanisms of injury: (1) run over; (2) carried away; (3) contact.
Twelve patients had been run over, 44 patients were carried away and 44 patients had been hit by a car (contact). The average age in the run over group was the lowest, followed by that in the carried away group and that in the contact group was the highest. The children's coma score and injury severity score were not significantly different among the three groups; however, the average chest abbreviated injury score was the highest in the run over group, followed by that in the carried away group and that in the contact group was the lowest. The average duration of admission and survival rate among three groups, were not significantly different.
The patients who were injured due to being run over by a car, tended to be younger and to have severe chest injury.
关于儿童被碾压所致损伤的数据很少。
对儿童被碾压所受损伤的特征进行了调查。
回顾性分析1998年1月至2007年12月期间的病历，以研究被汽车碾压的儿科患者的损伤特征。纳入符合以下标准的患者：（1）年龄≤12岁；（2）患者被汽车撞击。根据损伤机制将受试者分为三组：（1）碾压；（2）拖行；（3）碰撞。
12例患者被碾压，44例患者被拖行，44例患者被汽车碰撞（碰撞）。碾压组的平均年龄最低，其次是拖行组，碰撞组的平均年龄最高。三组儿童的昏迷评分和损伤严重程度评分无显著差异；然而，碾压组的平均胸部简明损伤评分最高，其次是拖行组，碰撞组最低。三组的平均住院时间和生存率无显著差异。
因被汽车碾压而受伤的患者往往年龄较小且胸部损伤严重。
