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拯救树木:滑雪者与树木碰撞的比较性综述

Save the trees: a comparative review of skier-tree collisions.

作者信息

Friermood T G, Messner D G, Brugman J L, Brennan R

机构信息

Lakewood Orthopaedic Clinic, P.C., Lakewood, CO 80215.

出版信息

J Orthop Trauma. 1994;8(2):116-8.

PMID:8207567
Abstract

From 1981 to 1989, 323 patients whose diagnoses resulted from ski injuries were emergently admitted to a Class 1 Trauma Hospital. Of this group, 107 (33%) were injured in skier-tree collisions. This tree collision group (TC group) was compared with a group that did not hit a tree (non-tree-collision group or NTC group). The average age of the TC group was 26 years, compared with 31 years in the NTC group. The Revised Trauma Score (RTS) was recorded for each patient. The TC group's average trauma score was 7.205, compared with 7.7395 for the NTC group. The Injury Severity Score (ISS) was also recorded. The TC group's ISS averaged 14.7, compared with 9.1 for the NTC group. Both of these scores demonstrated statistical significance. Certain injuries such as skull fractures, head injuries, pelvic fractures, and chest injuries (including rib fractures, pneumothoraces, and pulmonary contusions) were more common in the TC group. Tibia fractures were more common in the NTC group. Femur fractures and upper extremity fractures were evenly distributed between the two groups. Seven deaths were recorded in the TC group and five deaths occurred in the NTC group.

摘要

1981年至1989年期间,323名因滑雪受伤而确诊的患者被紧急送往一家一级创伤医院。在这组患者中,107人(33%)是在滑雪者与树木碰撞事故中受伤的。将这个树木碰撞组(TC组)与未撞到树木的一组(非树木碰撞组或NTC组)进行比较。TC组的平均年龄为26岁,而NTC组为31岁。记录了每位患者的修订创伤评分(RTS)。TC组的平均创伤评分为7.205,而NTC组为7.7395。还记录了损伤严重程度评分(ISS)。TC组的ISS平均为14.7,而NTC组为9.1。这两个评分均显示出统计学意义。某些损伤,如颅骨骨折、头部损伤、骨盆骨折和胸部损伤(包括肋骨骨折、气胸和肺挫伤)在TC组中更为常见。胫骨骨折在NTC组中更为常见。股骨骨折和上肢骨折在两组中分布均匀。TC组记录了7例死亡,NTC组有5例死亡。

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