Civil I D
N Z Med J. 1986 Nov 26;99(814):905-6.
One hundred and sixty victims of motor vehicle accidents presenting to Auckland Hospital were evaluated to determine patterns of injury, overall injury severity, and outcome. Motor vehicle occupants comprised 51% of the group, pedestrians 28% and motorcyclists 21%. Mortality was 7.4%, 20% and 2.9% respectively for these three groups. The mean injury severity score was 19. Head and external injuries were common, each occurring in over 60% of all patients. In motorcyclists however, head injuries were less common (47%) (p less than 0.05) and facial injuries occurred in only 9% compared to 23% (p = ns) of the other two injury groups. Overall, severe chest or abdominal injury was present in only 16% of patients but these injuries occurred in 58% of those patients with severe head injury and extremity fractures (p less than 0.001). In motor vehicle occupants the combination of severe head injury and lower extremity fracture was associated with severe chest or abdominal injury in 8/9 patients. The patterns of injury identified here may be helpful in triaging patients to appropriate care facilities.
对前往奥克兰医院就诊的160名机动车事故受害者进行了评估，以确定损伤模式、总体损伤严重程度和预后情况。该组中机动车驾乘人员占51%，行人占28%，骑摩托车者占21%。这三组的死亡率分别为7.4%、20%和2.9%。平均损伤严重程度评分为19分。头部和外伤很常见，在所有患者中发生率均超过60%。然而，骑摩托车者中头部受伤较少见（47%）（p<0.05），面部受伤仅占9%，而其他两组损伤患者中面部受伤占23%（p=无显著性差异）。总体而言，只有16%的患者存在严重的胸部或腹部损伤，但这些损伤发生在58%的重度头部损伤和四肢骨折患者中（p<0.001）。在机动车驾乘人员中，9名患者中有8名重度头部损伤合并下肢骨折与严重的胸部或腹部损伤有关。此处确定的损伤模式可能有助于将患者分诊到合适的护理机构。
