Kellerman R
Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Salina.
J Fam Pract. 1990 Sep;31(3):273-6.
The manufacture of mobile homes and prefabricated houses results in the second highest occupational injury and illness rate of any industry. The types of worker injuries sustained have never previously been characterized. This series of 138 injuries from a rural family practice categorizes the injuries sustained by workers in a manufactured housing plant. Most injuries were not judged to be serious, but did result in lost work time and morbidity. Forty-nine percent of all injuries involved lacerations or puncture wounds. Seventy-six percent of puncture wounds involved staple gun use. Two thirds of lacerations were from pieces of metal, siding, and other sharp objects; one third were from knives. Fingers, hands, and wrists were the most commonly injured anatomic sites. Nine cases of overuse injury were seen; two required carpal tunnel surgical release. Twelve injuries were serious enough to require hospitalization or consultation. There were no fatalities. Several suggestions for improved worker safety are presented.
移动房屋和预制房屋的制造行业,其职业伤害和疾病发生率在所有行业中位居第二高。此前从未对该行业工人所遭受的伤害类型进行过描述。本系列报道了来自一家乡村家庭诊所的138例伤害案例,对一家移动房屋制造厂工人所遭受的伤害进行了分类。大多数伤害被判定不严重,但确实导致了误工时间和发病率。所有伤害中有49%涉及撕裂伤或刺伤。76%的刺伤与使用订书机有关。三分之二的撕裂伤来自金属片、墙板和其他尖锐物体;三分之一来自刀具。手指、手和手腕是最常受伤的解剖部位。发现9例过度使用造成的损伤;其中2例需要进行腕管手术松解。12例伤害严重到需要住院治疗或会诊。无死亡病例。文中提出了一些改善工人安全的建议。