Illingworth C M
Arch Dis Child. 1985 May;60(5):461-4. doi: 10.1136/adc.60.5.461.
Three hundred new cases of bicycle accidents were seen in the accident and emergency department in 60 consecutive days. Fifty six per cent were related to ordinary cycles and 44% to BMX cycles. Significantly more children on BMX cycles were boys (94% v 76% on ordinary cycles). Those on BMX cycles were somewhat older and more had had previous accidents. By means of a proforma we investigated the nature and causes of the accidents, recorded the type of injury, and compared accidents on the two groups of bicycles. Forty children had fractures and the incidence on BMX machines was almost twice that on conventional bicycles as were serious injuries and admissions to hospital. Twenty one children had concussion, 18 broke teeth, 53 fell head first over handlebars, and 131 had injuries above the neck. Significantly more children on ordinary cycles (53%) had injuries above the neck than those on BMX cycles (31%). Difficulties and methods of preventing the increasing number of cycle accidents are discussed.
在连续60天内，事故与急诊科共收治了300例新的自行车事故病例。其中56%与普通自行车有关，44%与小轮车有关。骑小轮车的儿童中男孩明显更多（94%，而骑普通自行车的男孩占76%）。骑小轮车的儿童年龄稍大，且更多人曾发生过事故。我们通过一份表格调查了事故的性质和原因，记录了损伤类型，并比较了两组自行车导致的事故。40名儿童发生骨折，小轮车导致骨折的发生率几乎是传统自行车的两倍，重伤和住院率也是如此。21名儿童有脑震荡，18名儿童牙齿折断，53名儿童头朝前翻过车把，131名儿童颈部以上受伤。骑普通自行车的儿童颈部以上受伤的比例（53%）明显高于骑小轮车的儿童（31%）。本文讨论了预防自行车事故数量不断增加的困难和方法。
