Ropohl D, Buchloh S, Raule P
Beitr Gerichtl Med. 1989;47:221-8.
The injuries of 100 passengers killed in automobile accidents and technical accident reconstruction data were recorded in a databank and analyzed according to the victim's age, survival time, extent of injuries, seat-belt protection, position of the seat, contusions, intrusions and Delta-v as a measure of passenger stress. 25 in-town, 39 rural road and 36 highway accidents were recorded, involving 74 drivers, 22 front-seat and 4 back-seat passengers as victims. The accidents were head-on in 79 cases, 17 side and 4 rear-end collisions. Fatal injuries were observed starting at Delta-v 40 km/h. Half of the victims were less than 30 years of age, 2/3 not wearing seat-belts and 1/3 of the drivers had blood alcohol concentrations of 1.0-2.5 g%. The most frequent injuries involved the arms, chest and skull. 88% of the victims died within 2 hours of the accident, and 82% were very severely poly-traumatized with 2-5 serious individual injuries and 48% with multiple injuries resulting in death. The chest was the body area subjected to the greatest biomechanical impact in the passengers wearing seat-belts.
在一场车祸中丧生的100名乘客的受伤情况以及技术事故重建数据被记录在一个数据库中,并根据受害者的年龄、存活时间、受伤程度、安全带保护情况、座位位置、挫伤、车辆侵入情况以及作为乘客应激指标的速度变化量(Delta-v)进行分析。记录了25起市内事故、39起乡村道路事故和36起高速公路事故,涉及74名司机、22名前排座位乘客和4名后排座位乘客作为受害者。事故中79起为正面碰撞、17起为侧面碰撞、4起为追尾碰撞。当速度变化量达到40公里/小时时开始出现致命伤。一半的受害者年龄小于30岁,三分之二未系安全带,三分之一的司机血液酒精浓度为1.0 - 2.5克%。最常见的受伤部位包括手臂、胸部和颅骨。88%的受害者在事故发生后2小时内死亡,82%的受害者受到非常严重的多发伤,有2 - 5处严重的个体损伤,48%的受害者因多处受伤导致死亡。对于系安全带的乘客,胸部是身体受到最大生物力学冲击的部位。