Sinha A K, Boot D A, Gorman D F, Teanby D N
Orthopaedic Department, Warrington District General Hospital, UK.
Injury. 1995 Oct;26(8):543-5. doi: 10.1016/0020-1383(95)00078-n.
Ninety-three patients were involved in serious motorcycle accidents (death or Injury Severity Score more than 15) during a 1-year period among a total of 554 victims of serious road traffic accidents studied at 16 district general and teaching hospitals. There were 91 males and two females. The average age was 29 years (range 15-81 years). Of these, 32 per cent died at the scene of the accident or in transit; 68 per cent arrived alive at the above hospitals. Of the latter, 30 per cent died in hospital. The commonest cause of death was multiple injuries. The Injury Severity Score of patients admitted to hospital was a mean of 32.1. The Glasgow Coma Score was below 9 in 33.8 per cent. Of those admitted to hospital, the average length of stay was 38.7 days. 67 per cent were admitted to intensive therapy unit of whom 41.3 per cent had to be ventilated for an average of 3.55 days. There were four preventable deaths among the patients who died after being admitted to hospital. Many body areas are frequently injured in motorcycle accidents which occur usually in fit males. Careful assessment along with vigorous and aggressive treatment is particularly important for this group. Access to a specialized trauma centre would be beneficial.
在16家地区综合医院和教学医院对554名严重道路交通事故受害者进行为期1年的研究期间，93名患者遭遇了严重的摩托车事故（死亡或损伤严重度评分超过15分）。其中男性91名，女性2名。平均年龄为29岁（年龄范围15 - 81岁）。这些患者中，32%在事故现场或转运途中死亡；68%存活抵达上述医院。在后者中，30%在医院死亡。最常见的死亡原因是多处损伤。入院患者的损伤严重度评分为32.1分。格拉斯哥昏迷评分低于9分的患者占33.8%。入院患者的平均住院时间为38.7天。67%的患者被收入重症监护病房，其中41.3%的患者需要平均3.55天的机械通气。在入院后死亡的患者中有4例可预防的死亡。摩托车事故通常发生在健康男性身上，事故中许多身体部位经常受伤。对这一群体而言，仔细评估以及积极有力的治疗尤为重要。能够进入专业创伤中心会很有帮助。
