Sotiropoulos S V, Jackson M A, Tremblay G F, Burry V F, Olson L C
Department of Infectious Diseases, Children's Mercy Hospital, Kansas City, Mo.
Am J Dis Child. 1990 Sep;144(9):980-2. doi: 10.1001/archpedi.1990.02150330040018.
Lawn dart injuries account for an estimated 675 emergency department visits per year. Seventy-six patients are described herein. The victims ranged from 1 to 18 years of age and were predominantly male (male to female ratio is 3.1:1). The most common sites of injury were head (54%), eye (17%), and face (11%). Hospitalization was required for 54% (41/76) of these patients. Sequelae included unilateral blindness and brain damage. The case fatality rate was 4%. The extent of a head injury was not always clinically apparent at the initial presentation and should be promptly defined by computed tomographic scan. Despite the recent ban on the sale of lawn darts, there remain an estimated 10 to 15 million sets of lawn darts in the homes of Americans. Pediatricians should encourage parents to discard all lawn darts.
据估计，每年因草地飞镖受伤而前往急诊科就诊的人数达675例。本文描述了76名患者。受害者年龄在1至18岁之间，以男性为主（男女比例为3.1:1）。最常见的受伤部位是头部（54%）、眼睛（17%）和面部（11%）。这些患者中有54%（41/76）需要住院治疗。后遗症包括单眼失明和脑损伤。病死率为4%。头部损伤的程度在初次就诊时并不总是在临床上明显显现，应通过计算机断层扫描迅速明确。尽管最近已禁止销售草地飞镖，但据估计美国家庭中仍有1000万至1500万套草地飞镖。儿科医生应鼓励家长丢弃所有草地飞镖。
