Department of Legal Medicine, Dokkyo Medical University School of Medicine, Tochigi 321-0293, Japan.
J Pediatr Surg. 2013 Jul;48(7):1588-92. doi: 10.1016/j.jpedsurg.2011.09.039.
This study aimed to determine the severity of injuries to each body region of child pedestrians struck by different types of vehicles.
We collected in-depth data from the Institute for Traffic Accident Research and Data Analysis on pedestrians younger than 13 years with any bodily injuries from collisions with vehicles between 1993 and 2004.
Sixty-eight patients with a mean age of 6.9 ± 2.4 years were included in the study. In collisions, vehicles caused higher Abbreviated Injury Scale (AIS) scores than those from impact with the road. Injury Severity Score and AIS values were higher with one-box or sports utility vehicles compared with those in sedan vehicles, but the differences were not statistically significant. The mean AIS score of head injuries was significantly higher with one-box or sports utility vehicles than that with sedans (1.6 ± 2.1 vs 0.5 ± 1.1, P < .05). The mean AIS score of the lower extremities was significantly higher with sedans than that with one-box or sports utility vehicles (1.2 ± 1.0 vs 0.5 ± 0.9, P < .05).
The type and severity of injuries in child-car collisions vary by type of vehicle and pedestrian kinematics.
本研究旨在确定儿童行人被不同类型车辆撞击时各身体部位损伤的严重程度。
我们从交通事故研究所和数据分析研究所收集了 1993 年至 2004 年间与车辆碰撞的 13 岁以下有任何身体伤害的行人的详细数据。
研究纳入了 68 名平均年龄为 6.9 ± 2.4 岁的患者。在碰撞中，车辆造成的损伤严重程度评分（Abbreviated Injury Scale，AIS）高于与道路碰撞造成的损伤严重程度评分。与轿车相比，一厢车或运动型多用途车的伤害严重程度评分和 AIS 值更高，但差异无统计学意义。一厢车或运动型多用途车所致头部损伤的平均 AIS 评分显著高于轿车（1.6 ± 2.1 比 0.5 ± 1.1，P <.05）。轿车所致下肢损伤的平均 AIS 评分显著高于一厢车或运动型多用途车（1.2 ± 1.0 比 0.5 ± 0.9，P <.05）。
儿童与汽车碰撞的损伤类型和严重程度因车辆类型和行人运动学而异。
