Bhende M S, Dandrea L A, Davis H W
Department of Pediatrics, University of Pittsburgh School of Medicine, Pennsylvania.
Ann Emerg Med. 1993 Oct;22(10):1519-23. doi: 10.1016/s0196-0644(05)81251-x.
To study the epidemiology of pediatric hand injuries.
Retrospective chart review.
Emergency department of a children's hospital.
All patients with a final diagnosis of hand injury from July through December 1989.
None.
Four hundred sixty-four patients (287 boys and 177 girls; median age, 10 years) with a total of 477 hand injuries were enrolled in the study. The most common types of injuries were lacerations (38.1%), soft tissue injuries (28.7%), and fractures (19.3%) and sprains (8%); most (60.8%) were sustained at home. Children with lacerations and burns were significantly younger than those with other types of hand injuries (P < .0001). Children with fractures, sprains, and sports injuries were significantly older than those with other types of hand injuries (P < .001). The fifth finger was the most commonly fractured digit (37%), and the fifth metacarpal was the most commonly fractured bone (P < .01). Boys were more likely than girls to sustain sports-related injuries (P < .05) and hand injuries resulting from first fights (P < .01). More hand injuries were associated with football than with any other organized sport (P < .01). All but 16 children (3.4%) were managed as outpatients.
Hand trauma accounts for a significant number of pediatric ED visits. Physicians caring for children in the ED setting must be prepared to manage a wide spectrum of pediatric hand injuries.
研究儿童手部损伤的流行病学。
回顾性病历审查。
儿童医院急诊科。
1989年7月至12月最终诊断为手部损伤的所有患者。
无。
464例患者（287例男孩和177例女孩；中位年龄10岁）共477处手部损伤纳入研究。最常见的损伤类型为撕裂伤（38.1%）、软组织损伤（28.7%）、骨折（19.3%）和扭伤（8%）；大多数（60.8%）发生在家中。撕裂伤和烧伤患儿明显比其他类型手部损伤患儿年龄小（P<0.0001）。骨折、扭伤和运动损伤患儿明显比其他类型手部损伤患儿年龄大（P<0.001）。小指是最常发生骨折的手指（37%），第五掌骨是最常发生骨折的骨骼（P<0.01）。男孩比女孩更易发生与运动相关的损伤（P<0.05）以及初次打架导致的手部损伤（P<0.01）。与足球相关的手部损伤比其他任何有组织的运动都多（P<0.01）。除16名儿童（3.4%）外，所有患儿均作为门诊患者处理。
手部创伤占儿童急诊就诊的很大比例。在急诊科照顾儿童的医生必须准备好处理各种儿童手部损伤。
