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苏格兰爱丁堡道路交通事故中摩托车手的损伤模式与严重程度

Pattern and severity of injury sustained by motorcyclists in road traffic accidents in Edinburgh, Scotland.

作者信息

Bradbury A, Robertson C

机构信息

Department of Accident and Emergency Medicine, Royal Infirmary, Edinburgh.

出版信息

Health Bull (Edinb). 1993 Mar;51(2):86-91.

PMID:8514495
Abstract

The pattern, severity and circumstances of injury sustained by 52 motorcyclists admitted as the result of a road traffic accident were prospectively documented. Forty-eight of the patients were drivers and four were pillion passengers. Three of the drivers and all of the pillion passengers were female. Injuries to motorcyclists accounted for 0.4% of the total workload of the department during the course of the study, and for 14% of all injuries seen there arising from road traffic accidents. Eighty-nine per cent of the patients were aged less than 25 years and the oldest patient was aged 44 years. Patients under the age of 21 years were injured more severely than those aged 21 years or more. The majority of injuries (67%) involved the limbs with the right arm and leg being injured twice as often as the left arm and leg. Arms and legs were injured with equal frequency. Head and facial injuries comprised only 9% of the total. Two patients were observed not to be wearing helmets at the time of the accident. Patients admitted between midnight and 05.59 hours sustained injuries of greater severity than those admitted between 06.00 and 23.59. Fifty per cent of patients had an Injury Severity Score of less than five, and only four patients had Injury Severity Score of 25 or more. One third of patients were riding motorcycles with an engine size of 750cc or greater. This group of patients was younger than patients riding less powerful motorcycles and also sustained injuries of greater severity.

摘要

前瞻性记录了52名因道路交通事故入院的摩托车骑行者的受伤模式、严重程度及受伤情况。其中48名患者为骑手,4名是乘客。3名骑手和所有乘客均为女性。在研究过程中,摩托车骑行者的受伤情况占该科室总工作量的0.4%,占道路交通事故所致所有损伤的14%。89%的患者年龄小于25岁,年龄最大的患者为44岁。21岁以下患者的受伤程度比21岁及以上患者更严重。大多数损伤(67%)累及四肢,右臂和右腿受伤的频率是左臂和左腿的两倍。手臂和腿部受伤频率相同。头部和面部损伤仅占总数的9%。观察发现有两名患者在事故发生时未戴头盔。午夜至05:59入院的患者比06:00至23:59入院的患者受伤更严重。50%的患者损伤严重程度评分低于5分,只有4名患者的损伤严重程度评分为25分或更高。三分之一的患者所骑摩托车发动机排量为750cc或更大。这组患者比骑动力较小摩托车的患者更年轻,受伤也更严重。

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