Bergqvist D, Hedelin H
Scand J Soc Med. 1979;7(1):33-9. doi: 10.1177/140349487900700105.
To analyse changes in background factors, injury pattern, and prognosis regarding blunt abdominal trauma in Sweden, the 30-year postwar (1946--75) development was investigated in a rural district. 396 patients were treated, showing a great increase during the last 5 years. The highest frequency was seen in patients aged 11--30 years. Abdominal trauma occurred most commonly during July and August. The growing aetiological importance of road accidents is shown. Equestrian accidents were common early in the period and again towards the end. The incidence of cerebrally confused patients increased. The organs most commonly traumatized were kidney, liver, and spleen. The frequency of multiple intra-abdominal injuries and also associated extra-abdominal injuries increased with time. There was a tendency towards shorter hospital stays. Mortality rates did not change during the period, even though injuries have become increasingly severe (judged by the Injury Severity Score). It is concluded that the improved care of patients compensated precisely for the increased severity of injuries, as reflected in mortality.
为分析瑞典钝性腹部创伤的背景因素、损伤模式及预后的变化，我们对一个农村地区战后30年（1946 - 1975年）的发展情况进行了调查。共治疗了396例患者，在过去5年中数量大幅增加。11至30岁患者的发生率最高。腹部创伤最常发生在7月和8月。道路交通事故在病因学上的重要性日益凸显。马术事故在该时期早期较为常见，后期再次增多。意识模糊患者的发生率增加。最常受创伤的器官是肾脏、肝脏和脾脏。腹部多发伤以及相关的腹部外损伤的发生率随时间增加。住院时间有缩短的趋势。尽管损伤日益严重（根据损伤严重度评分判断），但该时期的死亡率并未改变。结论是，正如死亡率所反映的，对患者护理的改善恰好抵消了损伤严重程度的增加。
