Department of Urology, University of Washington School of Medicine, 1959 NE Pacific, Box 356510, Seattle, WA, 98195, USA.
Department of Anesthesiology, University of Washington School of Medicine, Seattle, WA, USA.
Int Urol Nephrol. 2020 Sep;52(9):1617-1623. doi: 10.1007/s11255-020-02464-4. Epub 2020 Apr 17.
The clinical impact of firework-related genitourinary trauma remains unknown. In this study, we aim to characterize injury patterns, interventions, and clinical outcomes of firework-related genitourinary injuries and evaluate the relationship with certain firework types.
A retrospective case series was conducted for patients treated at a level I trauma center from 2005 to 2019 who experienced firework-related genitourinary trauma. Fifteen patients sustained firework-related genitourinary injuries. Injury patterns, operative interventions, clinical outcomes, as well as details of firework type were examined.
Firework-related genitourinary injuries were identified in 15 trauma patients. Mean age was 29.7 years (± 14.3, standard deviation), all (100%) patients were male, and most (11; 73.3%) were Caucasian. Average length of stay (LOS) was 10.5 days, and 4 (26.7%) patients required ICU admission. Ten (66.7%) patients underwent 28 operative interventions (mean 1.9 per patient), 7 (46.7%) of whom underwent 15 urologic specific intervention (mean 1.0 per patient). No injury-related deaths occurred. Considering firework type, 10 (66.7%) patients had mortar or shell-related injuries, while 3 (20.0%) involved firecrackers, and 2 (13.3%) involved bottle rockets. All (100%) patients sustained injuries that occurred with the use of legally obtained fireworks and 11 (73.3%) were active users.
Firework-related genitourinary injuries occurred most frequently in young men, lead to polytrauma with the scrotum and penis being the most common urologic sites, had high operative rates, and were most commonly associated with legally obtained fireworks, specifically mortar and shell fireworks. Further investigation is needed to understand the long-term sequelae of these injuries.
烟花相关泌尿生殖系统创伤的临床影响尚不清楚。本研究旨在描述烟花相关泌尿生殖系统损伤的损伤模式、干预措施和临床结果，并评估与某些烟花类型的关系。
对 2005 年至 2019 年在一级创伤中心接受治疗的 15 名烟花相关泌尿生殖系统损伤患者进行回顾性病例系列研究。检查损伤模式、手术干预、临床结果以及烟花类型的详细信息。
15 名创伤患者中发现烟花相关泌尿生殖系统损伤。平均年龄为 29.7 岁（±14.3，标准差），所有（100%）患者均为男性，大多数（11；73.3%）为白种人。平均住院时间（LOS）为 10.5 天，有 4 名（26.7%）患者需要入住 ICU。10 名（66.7%）患者接受了 28 次手术干预（平均每名患者 1.9 次），其中 7 名（46.7%）接受了 15 次泌尿科特定干预（平均每名患者 1.0 次）。没有与损伤相关的死亡。考虑烟花类型，10 名（66.7%）患者有迫击炮或炮弹相关损伤，3 名（20.0%）涉及鞭炮，2 名（13.3%）涉及瓶式火箭。所有（100%）患者均因使用合法获得的烟花而受伤，11 名（73.3%）为烟花的经常使用者。
烟花相关泌尿生殖系统损伤最常发生在年轻男性中，导致多发伤，阴囊和阴茎是最常见的泌尿生殖系统部位，手术率高，最常与合法获得的烟花有关，特别是迫击炮和炮弹烟花。需要进一步研究以了解这些损伤的长期后果。
