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一起死亡事件的法医调查:一名在印度一家燃煤热电厂遭受与工作相关头部损伤的工人的创伤后失忆症

Forensic investigation into a death: post-traumatic amnesia in a worker with a work-related head injury sustained in a coal-fired thermal power plant in India.

作者信息

Muralidhar Venkiteswaran

机构信息

Department of Surgery, Sri Balaji Medical college, Royal Balaji hospital, Chromepet, Chennai 600044.

Mèdecins Sans Frontiérs International (MSF), Amsterdam, The Netherlands.

出版信息

BMJ Case Rep. 2017 Mar 15;2017:bcr2016218103. doi: 10.1136/bcr-2016-218103.

Abstract

This is the first reported case of a work-related head injury in a coal-fired thermal power plant in India. This case highlights the trend of not reporting work injuries due to fears of reprisal from the management team that may include the termination of employment. Post-traumatic amnesia in a worker presenting with head trauma must be recognised by coworkers, so the cause of injury can be elicited early and the victim gets timely medical help. There are few published studies on work-related traumatic brain injury, and they provide no information on either anatomical localisation or signs and symptoms. It is imperative that this under-researched area is studied, so detailed epidemiology and accurate national and global statistics are made available to address this dangerous yet preventable condition.

摘要

这是印度一家燃煤热电厂首例有报告的与工作相关的头部损伤案例。该案例凸显了因担心管理团队报复(可能包括解雇)而不报工伤的趋势。同事必须认识到头部受伤工人的创伤后遗忘症,以便能尽早查明受伤原因,使受害者得到及时医疗救助。关于与工作相关的创伤性脑损伤的已发表研究很少,且这些研究未提供有关解剖定位或体征及症状的信息。迫切需要对这个研究不足的领域进行研究,以便提供详细的流行病学以及准确的国家和全球统计数据,以应对这种危险但可预防的情况。

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