Tursz A, Lelong N, Crost M
Unité de Recherches Epidémiologiques sur la Mère et l'Enfant-INSERM, Paris, France.
Paediatr Perinat Epidemiol. 1990 Oct;4(4):408-21. doi: 10.1111/j.1365-3016.1990.tb00668.x.
Within a population-based register of childhood injuries, 641 home accidents to children aged under 2 years were recorded in six hospitals. The annual rate was higher in children over 1 year (6.6 per 100) than in infants (2.7 per 100). A male predominance was observed only after the first birthday. Most injuries were related to physical trauma (mainly falls), but burns and poisonings were frequent in the second year. Most lesions were benign, except in the case of falls from a height (from a window or baby furniture). Nineteen per cent of the children were admitted to hospital. There were 15 skull fractures, two fatal cases and two severe sequelae. Child abuse was seldom suspected and the reasons for this are discussed. The study of the circumstances in which accidents occur leads to the conclusion that the main aspect of prevention should be passive protection ensured by the creation of a safe environment (compulsory safety standards for baby furniture, child resistant packaging), but that parents' information and education should also be developed, with emphasis on knowledge of children's normal psychological and motor development and abilities.
在一个基于人群的儿童伤害登记系统中，六家医院记录了641起2岁以下儿童的家庭事故。1岁以上儿童的年发生率（每100人中有6.6起）高于婴儿（每100人中有2.7起）。仅在周岁后观察到男性占比更高。大多数伤害与身体创伤有关（主要是跌倒），但在第二年烧伤和中毒很常见。除了从高处（窗户或婴儿家具）跌落的情况外，大多数损伤是良性的。19%的儿童入院治疗。有15例颅骨骨折、两例死亡病例和两例严重后遗症。很少怀疑有虐待儿童的情况，并对此原因进行了讨论。对事故发生情况的研究得出结论，预防的主要方面应该是通过创造安全环境（婴儿家具的强制安全标准、儿童安全包装）来确保被动保护，但也应该加强对父母的宣传和教育，重点是了解儿童正常的心理和运动发育及能力。
