Cogbill T H, Busch H M
J Emerg Med. 1985;3(3):205-10. doi: 10.1016/0736-4679(85)90073-3.
During the past 6 years, 375 patients were hospitalized with injuries resulting from farm accidents. The mechanism of injury was farm animal in 135 patients (36%), tractor in 89 (24%), corn picker or auger in 57 (15%), power take-off in 29 (8%), other farm machinery in 50 (13%), and miscellaneous in 15 (4%). Injury severity score (ISS) of 25 or greater was calculated for 29 individuals (8%). Eleven groups of surgical subspecialists performed 539 procedures. Eight patients (2.1%) died as a result of their injuries. All eight deaths occurred after tractor accidents secondary to pelvic fractures, head and spinal cord injury, or blunt chest trauma. Thirty-nine patients (10%) were left with serious permanent disability. Unnecessary morbidity and mortality in many cases were attributed to excessive prehospital care times within a largely rural area. Better prevention by farmer education and the initiation of mandatory safety devices on agricultural equipment may lower the incidence of farm accidents. Major agricultural trauma is frequent and diverse and is optimally managed in a regional trauma center.
在过去6年中，375名因农场事故受伤的患者入院治疗。受伤机制为：135名患者（36%）是被农场动物致伤，89名（24%）是被拖拉机致伤，57名（15%）是被玉米采摘机或螺旋钻致伤，29名（8%）是被动力输出轴致伤，50名（13%）是被其他农场机械致伤，15名（4%）是因其他杂项致伤。29名个体（8%）的损伤严重程度评分（ISS）为25分或更高。11组外科专科医生实施了539例手术。8名患者（2.1%）因伤死亡。所有8例死亡均发生在拖拉机事故后，继发骨盆骨折、头部和脊髓损伤或钝性胸部创伤。39名患者（10%）留下了严重的永久性残疾。在很大程度上的农村地区，许多病例中不必要的发病率和死亡率归因于过长的院前护理时间。通过对农民进行教育以及在农业设备上安装强制性安全装置来加强预防，可能会降低农场事故的发生率。重大农业创伤频发且多样，在区域创伤中心进行最佳管理。
