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安全带导致的腹部创伤(作者译)

[Abdominal traumas due to the safety belt (author's transl)].

作者信息

Lechaux J P, Poinsard J P, Ravaud Y, Asseraf J, Boulakia C

出版信息

Nouv Presse Med. 1981 Nov 14;10(41):3385-8.

PMID:7301568
Abstract

The use of motorcar safety belts has reduced mortality in road accidents but has given rise to the so-called "safety belt syndrome", a new pattern of lesions the most common and most severe of which are lesions of the abdominal wall and viscera. A case of transsection of the whole abdominal wall with mesenteric tear is reported here and numerous cases of intestinal perforation have been published. Diagnosis is often difficult and delayed. Analysis of the pathophysiology of these lesions shows that most of them are caused by incorrectly placed or adjusted belts. Prevention can only result from improved education of car drivers and passengers and from the development of more efficient safety devices.

摘要

汽车安全带的使用降低了道路交通事故中的死亡率,但引发了所谓的“安全带综合征”,这是一种新的损伤模式,其中最常见、最严重的是腹壁和内脏损伤。本文报告了一例全腹壁横断伴肠系膜撕裂的病例,并且已有多篇关于肠穿孔病例的报道。诊断往往困难且延迟。对这些损伤的病理生理学分析表明,其中大多数是由安全带放置不当或调节不当引起的。预防只能通过加强对汽车驾驶员和乘客的教育以及开发更有效的安全装置来实现。

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