Department of Pediatrics, Postgraduate Institute of Medical Education and Research and associated Dr Ram Manohar Lohia Hospital, New Delhi, India.
Emerg Med Australas. 2013 Oct;25(5):452-6. doi: 10.1111/1742-6723.12114. Epub 2013 Aug 12.
We studied the epidemiology of paediatric firework-related injury in the urban population of Delhi during the festival of lights (Diwali).
In this prospective observational study, data were collected on the day of Diwali for two consecutive years, 2010 and 2011. All children with firework injuries coming to the emergency room were included in the study. Data were recorded in a predesigned proforma.
Of the 65 cases, 75% were males and 25% were females; most children were more than 10 years of age and majority (90%) of them were unsupervised. Half (49%) of the cases were due to misuse of the fireworks or erratic behaviour, among which the most common observed mode was igniting cracker while holding it (18 cases; 24% of total injuries), which led to injuries to the hand and palm. Device failure was the next common cause for firework injuries, including unexpected blast of the crackers and string bomb as the most common. Overall, the most commonly injured body sites were hands (62%), face (32%) and eyes (10%). Crackers and string bomb mainly caused injuries to hands; fountains and gunpowder caused injuries to the face. Sixty (94%) children were managed conservatively and 5 (6%) required skin grafting and tendon repair.
We recommend parental supervision especially for males, wearing non-synthetic and non-flowing clothes, promoting branded crackers and educational campaigns in schools to curtail the rising trend in firework-related injuries in the paediatric population.
我们研究了德里市光节（排灯节）期间城市人口中与烟花有关的儿科伤害的流行病学情况。
在这项前瞻性观察研究中，我们在连续两年（2010 年和 2011 年）的排灯节当天收集数据。所有因烟花受伤而到急诊室就诊的儿童均纳入研究。数据记录在预先设计的表格中。
在 65 例病例中，男性占 75%，女性占 25%；大多数儿童年龄超过 10 岁，其中大多数（90%）无人看管。半数（49%）的病例是由于烟花使用不当或行为不稳定所致，其中最常见的观察到的模式是手持鞭炮点火（18 例；占总伤害的 24%），导致手部和手掌受伤。其次常见的烟花伤害原因是设备故障，包括爆竹和导火索的意外爆炸。总体而言，受伤最常见的身体部位是手（62%）、脸（32%）和眼睛（10%）。鞭炮和导火索主要导致手部受伤；喷泉和火药导致脸部受伤。60 名（94%）儿童接受了保守治疗，5 名（6%）需要植皮和肌腱修复。
我们建议家长监督，特别是对男性儿童；建议穿非合成、非流动的衣服；推广品牌烟花；在学校开展教育活动，以遏制儿科人群中与烟花有关的伤害不断上升的趋势。
