Swanson J A, Sachs M I, Dahlgren K A, Tinguely S J
Department of Pediatrics, Mayo Clinic, Rochester, MN 55905.
Am J Dis Child. 1987 Dec;141(12):1276-9. doi: 10.1001/archpedi.1987.04460120038029.
Eighty-seven children with 88 farm injuries presented to our emergency room in Rochester, Minn, from November 1974 to July 1985. Seventy-four accidents (84.1%) occurred in boys, and 14 (15.9%) in girls. Ages ranged from 1 to 16 years. Farm machines involved included corn augers in 37 accidents (42.0%); tractors, 22 (25.0%); power takeoffs, ten (11.4%); conveyor belts, five (5.7%); and miscellaneous, 14 (15.9%). Fractures and lacerations were the most common injuries, occurring in 55 (62.5%) and 30 (34.1%), respectively. Significant long-term disability occurred in 36 (40.9%). Eleven children required multiple reconstructive surgical procedures; two died. Preventive measures that can be employed by physicians, family members, educators, and legislators are discussed.
1974年11月至1985年7月期间，明尼苏达州罗切斯特市有87名儿童因88起农场事故前来我们的急诊室就诊。74起事故（84.1%）发生在男孩身上，14起（15.9%）发生在女孩身上。年龄范围为1至16岁。涉及的农场机器包括：37起事故（42.0%）中涉及玉米螺旋输送机；22起（25.0%）涉及拖拉机；10起（11.4%）涉及动力输出轴；5起（5.7%）涉及传送带；14起（15.9%）涉及其他杂项。骨折和撕裂伤是最常见的损伤，分别有55例（62.5%）和30例（34.1%）。36例（40.9%）出现了严重的长期残疾。11名儿童需要多次重建手术；2名儿童死亡。文中讨论了医生、家庭成员、教育工作者和立法者可以采取的预防措施。
