Fisher Sarah B, Clifton Matthew S, Bhatia Amina M
Department of Surgery, Division of Pediatric Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Am Surg. 2011 Aug;77(8):1076-80.
Unlike other sharp objects, pens and pencils are readily available to children both at home and school. Although case reports are published, no series of pen or pencil injuries have been reported in the recent literature. We therefore reviewed the incidence and injury profiles of writing instruments as compared with other sources of penetrating trauma. The trauma registry from a large urban pediatric hospital system was queried for nonmissile, nonbite penetrating injuries from 2005 through 2009. Retrospective data was collected on demographics, injuries, operations, admissions, and mortalities. Additionally, data regarding pen and pencil injuries from 2009 to 2010 were collected prospectively, and one case from 2003 was included retrospectively. Fourteen injuries from writing instruments were seen and involved the head and neck (9), chest (1), bladder/perineum (2), and extremities (2). Eleven children were admitted and eight required surgical intervention. One child died from a transhemispheric brain injury after intraorbital penetration by a pencil. Penetrating trauma from writing instruments is not an uncommon source of injury and often requires surgical intervention to remove the object. Injuries from pens and pencils can be severe or even fatal. Appropriate parent and teacher education regarding the potential risks may help to prevent such injuries.
与其他尖锐物体不同，钢笔和铅笔在家庭和学校里儿童都很容易接触到。虽然有病例报告发表，但近期文献中尚无钢笔或铅笔所致伤害的系列报道。因此，我们对比了书写工具致伤与其他穿透性创伤来源的发生率及损伤情况。查询了一家大型城市儿科医院系统2005年至2009年的创伤登记处，获取非导弹、非咬伤所致的穿透性损伤信息。收集了关于人口统计学、损伤情况、手术、住院及死亡情况的回顾性数据。此外，前瞻性收集了2009年至2010年钢笔和铅笔致伤的数据，并回顾性纳入了2003年的1例病例。共发现14例书写工具所致损伤，累及头部和颈部（9例）、胸部（1例）、膀胱/会阴（2例）及四肢（2例）。11名儿童住院，8名需要手术干预。1名儿童因铅笔眶内穿透致跨半球脑损伤死亡。书写工具所致穿透性创伤是一种常见的致伤原因，常需手术取出异物。钢笔和铅笔所致损伤可能很严重甚至致命。对家长和教师进行有关潜在风险的适当教育可能有助于预防此类损伤。
