Diao M L, Diatta Aer, Mbodj M, Diédhiou M, Ndoye A Y, Tendeng J N, Ndong A, Manyacka Ma-Nyemb P, Konaté I, Ndiaye M
Service de Médecine du Travail, Faculté de Médecine, de Pharmacie et d'Odontostomatologie de l'université Cheikh Anta Diop de Dakar, Sénégal.
Département de Chirurgie et Spécialités chirurgicales, UFR 2S, Université Gaston Berger de Saint-Louis, Sénégal.
Mali Med. 2022;37(1):8-11.
to determine the mechanisms, lesions and hospital management of work-related accidentduringtraditional fishing,an activity subject to vital occupational risks.
Descriptive retrospective study on occupational injury files in artisanal fishing professions, registered at the Saint-Louis Regional Hospital (Senegal), from January 2014 to December 2019. All complete records of trauma during any activity related to artisanal fishingwereincluded. Data on accident mechanisms, injuries observed, and hospital management were collected.
47 male workers were on average 28.4 years old. Direct shock from a pirogue was most frequent (68.10%), followed by sharp or blunt objects (16.27%). The lesions were characterized by bone fractures in 63.83% of cases (n=30); chest-abdominal-pelvic and limb contusions and wounds represented 12.67% and 21.27% of cases, respectively. Medical management was done in 21 cases (44.7%). Surgery was dominated by intramedullary nailing in 15 cases (31.9%). Two laparotomies were performed with intestinal sutures. A chest contusion death was reported.
Traumatic occupational risks in traditional fishing are life threatening. A better understanding of these risks and their consequencesmakes it possible to ensure good prevention.
确定传统捕鱼作业中与工作相关事故的机制、损伤情况及医院处理方式，传统捕鱼是一项存在重大职业风险的活动。
对2014年1月至2019年12月在圣路易地区医院（塞内加尔）登记的个体捕鱼行业职业伤害档案进行描述性回顾性研究。纳入所有与个体捕鱼相关活动中任何创伤的完整记录。收集事故机制、观察到的损伤及医院处理的数据。
47名男性工人，平均年龄28.4岁。独木舟直接撞击最为常见（68.10%），其次是锐器或钝器伤（16.27%）。损伤情况为63.83%的病例（n = 30）出现骨折；胸腹盆腔及四肢挫伤和伤口分别占病例的12.67%和21.27%。21例（44.7%）进行了医疗处理。手术以15例（31.9%）的髓内钉固定为主。进行了2例剖腹手术并进行肠缝合。报告了1例胸部挫伤死亡病例。
传统捕鱼中的创伤性职业风险危及生命。更好地了解这些风险及其后果有助于确保良好的预防措施。
