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[交通侧滑事故中安全气囊导致的严重眼球穿通伤]

[Severe perforating eye injury caused by an air bag in a traffic skid accident].

作者信息

Biechl-Lautenbach K S, Gloor B, Walz F

机构信息

Aus der Augenklinik des Universitätsspitals Zürich.

出版信息

Klin Monbl Augenheilkd. 1996 Mar;208(3):196-200. doi: 10.1055/s-2008-1035195.

DOI:10.1055/s-2008-1035195
PMID:8699778
Abstract

BACKGROUND

After a penetrating injury of the eye following a car accident the driver demanded accurate investigations by the Institute for Legal Medicine of Zurich concerning the security of the equipment, especially the airbag. This led to an astonishing explication of the mechanism of the injury, not without consequences for safety measures for drivers and front seat passengers in air bag equipped cars.

CASE REPORT

Due to a relatively harmless accident, the driver suffered from a severe penetrating injury of the right eye after the airbag deployed. The front seat passenger, having the seat belts fastened, was not injured. The accident was investigated by the Institute of Legal Medicine of Zurich.

RESULTS

The analysis of the accident showed that the airbag had deployed properly. The cover of the airbag showed no defects of substance. With the precise examination of the interior of the car a broken tobacco pipe came to light.

CONCLUSIONS

In this case not the airbag itself but a tobacco pipe held in the hand by the driver during the airbag ignition caused a severe injury of the eye. This case report illustrates the hazard of having any rigid object between the occupant and the deploying air bag. In conclusion, the drivers and front seat passengers of an airbag equipped car can only profit from the considerable security gain, if they know about these risks and adapt their behaviours to the new surroundings, but also the car manufactures have to instruct the customers properly.

摘要

背景

在一场车祸后眼部受到穿透伤,司机要求苏黎世法医学研究所对设备安全性,尤其是安全气囊进行精确调查。这引发了对受伤机制的惊人解释,对配备安全气囊汽车中驾驶员和前排乘客的安全措施产生了影响。

病例报告

由于一场相对轻微的事故,安全气囊展开后,司机右眼遭受严重穿透伤。前排乘客系着安全带,未受伤。苏黎世法医学研究所对该事故进行了调查。

结果

事故分析表明安全气囊展开正常。安全气囊的盖子没有材质缺陷。通过对车内进行精确检查,发现了一根破损的烟斗。

结论

在这个案例中,不是安全气囊本身,而是安全气囊点火时司机手中拿着的烟斗导致了眼部严重受伤。本病例报告说明了在乘客与展开的安全气囊之间存在任何坚硬物体的危险。总之,配备安全气囊汽车的驾驶员和前排乘客只有在了解这些风险并使自己的行为适应新环境时,才能从显著提高的安全性中受益,而且汽车制造商也必须对客户进行适当的指导。

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[Severe perforating eye injury caused by an air bag in a traffic skid accident].[交通侧滑事故中安全气囊导致的严重眼球穿通伤]
Klin Monbl Augenheilkd. 1996 Mar;208(3):196-200. doi: 10.1055/s-2008-1035195.
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Do motor vehicle airbags increase risk of ocular injuries in adults?汽车安全气囊会增加成年人眼部受伤的风险吗?
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Airbag deployment and eye perforation by a tobacco pipe.安全气囊展开与烟斗导致的眼球穿孔
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[Penetrating and perforating eye injuries in 343 patients due to auto accidents before and after compulsory seat belt legislation resulting in fines (1966-1998)].[1966年至1998年强制实施安全带立法并对违规处以罚款前后,343例因交通事故导致的穿透性和穿孔性眼外伤患者]
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Method to evaluate the effect of safety belt use by rear seat passengers on the injury severity of front seat occupants.评估后排乘客使用安全带对前排乘客受伤严重程度影响的方法。
Accid Anal Prev. 2005 Jan;37(1):5-17. doi: 10.1016/j.aap.2004.05.003.
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[An unusual case of fatal airbag injury].[一例罕见的致命安全气囊损伤病例]
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Air bags and ocular injuries.安全气囊与眼外伤。
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Sternal fractures occur most often in old cars to seat-belted drivers without any airbag often with concomitant spinal injuries: clinical findings and technical collision variables among 42,055 crash victims.胸骨骨折最常发生在没有安全气囊的旧汽车中系安全带的驾驶员身上,常伴有脊柱损伤:42055名车祸受害者的临床发现和技术碰撞变量。
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Effect of airbag deployment on head injuries in severe passenger motor vehicle crashes in Ontario, Canada.加拿大安大略省严重乘用车碰撞事故中安全气囊展开对头部损伤的影响。
J Trauma. 2003 Feb;54(2):266-72. doi: 10.1097/01.TA.0000038699.47295.2D.

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