Böstman O, Marttinen E, Mäkitie I, Tikka S
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Ann Chir Gynaecol. 1993;82(1):47-9.
Over a 5-year period 1985-1989, a total of 1,268 persons, 5.1 cases per 100,000 person-years, required hospital treatment for injuries caused by firearms in Finland. During the same period 1,295 persons died on the scene of the shooting or during transport to hospital. Among the 1,268 patients admitted alive, the principal modes of the shooting incident were accidental shooting in 57%, suicidal attempt in 20% and assault in 13%. The male:female ratio was 11:1. The median age of the patients was 31 years. The anatomical distribution of the injuries was as follows: skull or face in 36%, chest or abdomen in 17% and extremities in 47%. The mean duration of the hospital stay was 13 days. In all, 16,506 hospital days were required. Of the 1,268 patients 141 died in hospital. The hospital mortality was 104/255 in suicidal shootings, 26/158 in assaults but only 9/725 in accidents. This study showed that firearm injuries cannot be considered a negligible medical problem in Finland.
在1985年至1989年的5年期间，芬兰共有1268人因枪支伤害需要住院治疗，发病率为每10万人年5.1例。同一时期，有1295人在枪击现场或送往医院途中死亡。在1268名存活入院的患者中，枪击事件的主要方式为意外枪击占57%，自杀未遂占20%，袭击占13%。男女比例为11:1。患者的中位年龄为31岁。损伤的解剖分布如下：头部或面部占36%，胸部或腹部占17%，四肢占47%。平均住院时间为13天。总共需要16506个住院日。1268名患者中有141人在医院死亡。自杀枪击的医院死亡率为104/255，袭击为26/158，而意外仅为9/725。这项研究表明，在芬兰，枪支伤害不能被视为一个可忽略的医学问题。
