农场中的创伤性脊柱损伤：2005 - 2015年在爱尔兰国家脊柱科接受治疗的患者
Traumatic spinal injuries on farms: Patients treated in the national spinal unit of Ireland 2005-2015.
作者信息
Berney Mark J, Horstmann Ellen, Cassidy Noelle
机构信息
National Spinal Injuries Unit, Mater Misericordiae University Hospital, Eccle St, Dublin 7, Ireland.
Mater Misericordiae University Hospital, Eccle St, Dublin 7, Ireland.
出版信息
J Orthop. 2017 Jan 9;14(1):211-215. doi: 10.1016/j.jor.2016.12.013. eCollection 2017 Mar.
INTRODUCTION
Farming is a major industry in Ireland, employing 6% of the workforce but accounts for 40% of workplace fatalities (Meredith, 2008). The use of machinery and proximity to large livestock poses significant risk for spinal injuries. This study reviews mechanism of injury, injuries sustained, and the treatment undertaken.
RESULTS
Of 31 patients, 26 sustained high-energy injuries with machinery and livestock implicated in the majority of accidents. 77% sustained poly-trauma and 52% had permanent neurological injury.
CONCLUSIONS
The proximity to heavy machinery and livestock pose significant risk for spinal injuries. This study should encourage increased efforts to improve farm safety.
引言
农业是爱尔兰的一个主要产业，雇佣了6%的劳动力，但却占工作场所死亡人数的40%（梅雷迪思，2008年）。机械的使用以及与大型牲畜的近距离接触对脊柱损伤构成重大风险。本研究回顾了损伤机制、所遭受的损伤以及所采取的治疗方法。
结果
在31名患者中，26人遭受了高能损伤，大多数事故涉及机械和牲畜。77%的患者遭受多发伤，52%的患者有永久性神经损伤。
结论
与重型机械和牲畜的近距离接触对脊柱损伤构成重大风险。本研究应促使加大力度改善农场安全。
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