Grimble S, Kendall I G, Allen M J
Department of Accident and Emergency Medicine, Leicester Royal Infirmary.
Arch Emerg Med. 1993 Sep;10(3):203-8. doi: 10.1136/emj.10.3.203.
A summary of injuries sustained by 340 sportsmen over 9 successive weekends from 16 November 1991 to 12 January 1992 attending an accident and emergency (A&E) department is presented. Most injuries occurred in young males usually as a result of soccer or rugby. Sixty-seven per cent of patients were discharged with no further followed up in hospital. Seventy-two per cent of patients were X-rayed, 33% of X-rays showed a fracture or dislocation. A total of 193 attendees received minimal treatment, (defined as discharge with advice only, simple analgesia or strapping only with no hospital follow-up) and of these 152 were X-rayed. A total of 100 patients who received minimal treatment were selected randomly by computer to receive a follow-up letter asking about certain issues relating to their care in the A&E department. Most patients felt that the A&E Department was the most appropriate source of treatment for their sports injury, and over half attended specifically for an X-ray examination. Despite the doctors view that many of these minor injuries could have been self-treated, few patients felt able to treat future similar minor injuries themselves. They were, however, more likely to go elsewhere for treatment on subsequent occasions.
本文呈现了1991年11月16日至1992年1月12日连续9个周末期间，340名运动员在事故与急救（A&E）科室所受损伤的总结情况。大多数损伤发生在年轻男性身上，通常是足球或橄榄球运动导致的。67%的患者出院后未在医院接受进一步随访。72%的患者接受了X光检查，其中33%的X光片显示有骨折或脱位。共有193名就诊者接受了最低限度治疗（定义为仅给予建议后出院、单纯止痛或仅用绷带包扎且无医院随访），其中152人接受了X光检查。通过计算机随机挑选了100名接受最低限度治疗的患者，给他们发送随访信，询问与他们在A&E科室的治疗相关的某些问题。大多数患者认为A&E科室是治疗他们运动损伤的最合适场所，超过一半的患者专门前来进行X光检查。尽管医生认为许多此类轻伤本可自行处理，但很少有患者觉得自己能够处理未来类似的轻伤。然而，他们在后续受伤时更有可能去其他地方治疗。
