Trauma Group, Department of Surgery, Faculty of Medicine and Health Sciences, UAE University, PO Box 17666, Al-Ain, United Arab Emirates.
World J Surg. 2012 Oct;36(10):2384-9. doi: 10.1007/s00268-012-1673-2.
Camel-related injuries have been less well studied than other animal-related injuries. We aimed to study prospectively the incidence, mechanism, distribution of injury, and outcome of patients admitted to hospital with camel-related injuries in Al-Ain, United Arab Emirates.
All patients who were admitted to Al-Ain Hospital with a camel-related injury were prospectively studied during the period of October 2001 to January 2010. Patient's demography, time of injury, mechanism of injury, and distribution and severity of injury were studied.
A total of 212 patients, all male, with a median age of 28 years (5-89 years) were studied. The estimated incidence of hospitalized camel-related injured patients in Al-Ain City was 6.88 per 100,000 population per year. Camel kicks were most common (36.8 %) followed by a fall from a camel (26.4 %) and camel bites (25.0 %). Camel kicks and falling from a camel were more common during the hot month of August, and camel bites were more common during the rutting season (November to February). Patients with a kick-related injury had a significantly higher rate of maxillofacial fractures compared with other mechanisms. Spinal injuries occurred significantly more often in vehicle occupants who collided with camels compared with other mechanisms (3/7 compared with 7/205, p = 0.0022, Fisher's exact test). Twelve patients (5.7 %) were admitted to the intensive care unit. The mean hospital stay was 8.6 days (1-103 days). Two patients died (overall mortality 1 %).
Understanding the biomechanisms and patterns of injury and correlating them with the behavior of the camel is important for identification and prevention of camel-related injuries.
与骆驼相关的损伤比其他动物相关的损伤研究得更少。我们旨在前瞻性地研究阿拉伯联合酋长国艾因市因骆驼相关损伤而住院的患者的发病率、机制、损伤分布和结局。
在 2001 年 10 月至 2010 年 1 月期间，对所有因骆驼相关损伤而入住艾因医院的患者进行前瞻性研究。研究了患者的人口统计学特征、受伤时间、损伤机制以及损伤的分布和严重程度。
共研究了 212 名男性患者，年龄中位数为 28 岁（5-89 岁）。估计艾因市因骆驼相关损伤而住院的患者发病率为每年每 10 万人 6.88 例。骆驼踢伤最为常见（36.8%），其次是从骆驼上摔下（26.4%）和骆驼咬伤（25.0%）。骆驼踢伤和从骆驼上摔下在炎热的 8 月更为常见，而骆驼咬伤在交配季节（11 月至 2 月）更为常见。与其他机制相比，与踢伤相关的患者面部骨折的发生率明显更高。与其他机制相比，与骆驼碰撞的车内乘客发生脊柱损伤的几率显著更高（3/7 比 7/205，p = 0.0022，Fisher 确切检验）。12 名患者（5.7%）入住重症监护病房。平均住院时间为 8.6 天（1-103 天）。两名患者死亡（总死亡率 1%）。
了解损伤的生物力学机制和模式，并将其与骆驼的行为相关联，对于识别和预防骆驼相关损伤很重要。
