Mangané M, Almeimoune A, Diop Th M, Dembélé A S, Diallo B, Napo A, Sogoba Y, Bomou Y, Doumbia M, Koita S, Tambassi S I, Diango M D
Département anesthésie-réanimation et médecine d'urgence du CHU Gabriel TOURE.
Service d'anesthésie CHU IOTA.
Mali Med. 2018;33(2):5-8.
Traditional gold washing traumatism during traditional gold panningfalls within the scope of occupational accidents, which are common pathologies in developing countries such as Mali. to study traumatism during traditional gold panning.
A 1-year prospective study from November 2014 to November 2015 on the cases of traumatism during traditional gold washing (TOT) admitted to the emergency room(ER) of the University Hospital Gabriel Touré during the study period. Data were collected from outpatient visit records and medical charts. Data were collected on the survey sheets and analyzed with Epi-info version 7.1.1.0.fr software. Data entry was made with Windows 7 software.
During the study period, 21,400 patients were admitted to the ER, of whom 445 patients were victims of traumatism, a frequency of 2.08% of all outpatient visits in the ER. The age group 21-40 years old was the most represented with 64.94% of the cases. The male gender was predominant with 77.08% of the cases with a sex ratio of 3.36. Mine landslides were the most common causality in 65.39% of the cases. Dorsal spine involvement was the most common with 41.80% of cases. Medullary vertebral fracture was the most frequent diagnosis with 43.82% of cases. In total, 79.55% of patients received medical treatment. Patients or were transferred to neurosurgery department in 58.20% of cases.
Traumatism during traditional gold panning is common. Lesions most often fit in a context of polytraumatism. The rapidity of the diagnosis and management are crucial to the prognosis of the disease.
传统淘金过程中的洗金创伤属于职业事故范畴,在马里等发展中国家是常见病症。目的是研究传统淘金过程中的创伤情况。
于2014年11月至2015年11月进行了一项为期1年的前瞻性研究,研究对象为研究期间在加布里埃尔·图雷大学医院急诊室收治的传统洗金创伤(TOT)病例。数据从门诊就诊记录和病历中收集。数据记录在调查问卷表上,并使用Epi-info 7.1.1.0.fr软件进行分析。数据录入使用Windows 7软件。
在研究期间,21400名患者入住急诊室,其中445名患者为创伤受害者,占急诊室所有门诊就诊患者的2.08%。21 - 40岁年龄组患者最多,占病例的64.94%。男性占主导,占病例的77.08%,性别比为3.36。矿难是最常见的致伤原因,占病例的65.39%。脊柱损伤最为常见,占病例的41.80%。脊椎骨折是最常见的诊断,占病例的43.82%。总计79.55%的患者接受了治疗。58.20%的病例中患者被转至神经外科。
传统淘金过程中的创伤很常见。损伤大多符合多发伤的情况。诊断和处理的及时性对疾病预后至关重要。