Cogbill T H, Busch H M, Stiers G R
Pediatrics. 1985 Oct;76(4):562-6.
During a 6 1/2 year period, 105 children were admitted to the hospital as the result of trauma that occurred on farms. The mechanism of injury was animal related in 42 (40%), tractor or wagon accident in 28 (26%), farm machinery in 21 (20%), fall from farm building in six (6%), and miscellaneous in eight (8%). Injury Severity Score was calculated for each patient. An Injury Severity Score of greater than or equal to 25 was determined for 11 children (11%). Life-threatening injuries, therefore, are frequently the result of childhood activities that take place in agricultural environments. The most common injuries were orthopedic, neurologic, thoracoabdominal, and maxillofacial. There was one death in the series, and only one survivor sustained major long-term disability. Such injuries are managed with optimal outcome in a regional trauma center. Educational programs with an emphasis on prevention and safety measures may reduce the incidence of farm accidents.
在6年半的时间里，有105名儿童因农场发生的创伤而入院。受伤机制与动物有关的有42例（40%），拖拉机或马车事故28例（26%），农场机械事故21例（20%），从农场建筑物上跌落6例（6%），其他杂项事故8例（8%）。为每位患者计算了损伤严重程度评分。11名儿童（11%）的损伤严重程度评分大于或等于25分。因此，危及生命的损伤往往是儿童在农业环境中活动的结果。最常见的损伤是骨科、神经科、胸腹和颌面损伤。该系列中有1例死亡，只有1名幸存者有严重的长期残疾。在区域创伤中心对这类损伤进行治疗可取得最佳效果。强调预防和安全措施的教育项目可能会降低农场事故的发生率。
