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[儿童期意外事故的流行病学]

[Epidemiology of accidents in childhood].

作者信息

Menchini M, Cappuccino M, Paperini F, Formica U

出版信息

Pediatr Med Chir. 1985 Jan-Feb;7(1):107-10.

PMID:4088905
Abstract

Informations about accidental injuries to children were obtained by studying the records, of the year 1983, of the Emergency Department of the Buzzi children hospital of Milan. We have split our study in two periods (winter and summer) because of the different conditions (climatic and social) that we have. 16.858 children presented at hospital during the whole year for various reasons. In autumn-winter months (october-march) 8125 children were seen and 1177 (15%) attended hospital for accidental injury, while during the spring-summer period (april-september) 1790 out of 8733 (20%) children were seen for the same pathology. For each period age and sex of children injured, type and extent of injury and body-site affected by trauma have been evaluated. Males are involved more than females and accidents occurred most frequently during spring and summer time. Traumatic accident is the most frequently observed in both sexes, particularly wounds, contusions and head injuries. Trauma were in the majority of low entity and no death occurred in the population studied. We conclude that there is a need of a prospective epidemiological study, on a nation-wide basis, of childhood accidents in order to evaluate the extent of the problem and to get up prevention on the basis of the risk-factors.

摘要

通过研究米兰布齐儿童医院急诊科1983年的记录,获取了有关儿童意外伤害的信息。由于我们所面临的不同条件(气候和社会条件),我们将研究分为两个时期(冬季和夏季)。全年共有16858名儿童因各种原因前来医院就诊。在秋冬季节(10月至3月),有8125名儿童前来就诊,其中1177名(15%)因意外伤害入院;而在春夏季节(4月至9月),8733名儿童中有1790名(20%)因同样的病症前来就诊。对每个时期受伤儿童的年龄、性别、损伤类型和程度以及受创伤的身体部位进行了评估。男性受伤的比例高于女性,事故最常发生在春季和夏季。创伤性事故在男女中都是最常见的,尤其是伤口、挫伤和头部损伤。大多数创伤程度较轻,在所研究的人群中没有发生死亡情况。我们得出结论,需要在全国范围内对儿童事故进行前瞻性流行病学研究,以便评估问题的严重程度,并根据风险因素开展预防工作。

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