Sidhu S, Sugrue M, Bauman A, Sloane D, Deane S
Trauma Department, Liverpool Hospital, New South Wales, Australia.
Aust N Z J Surg. 1996 Aug;66(8):535-9. doi: 10.1111/j.1445-2197.1996.tb00804.x.
Few Australian studies describe the epidemiology of penetrating trauma. This study describes the incidence and demographic features of penetrating injuries with emphasis on trends and severity analysis.
Case analysis was performed utilizing data from the Liverpool Hospital Trauma Registry (1989-94), NSW Department of Health Hospital Separations (1991-93), and the NSW Bureau of Crime Statistics (1991-93) with reference to the Liverpool and Fairfield Local Government Areas (LGA).
The Trauma Registry revealed 251 of penetrating trauma. The median age was 26 years (interquartile range 21-33). Ninety-one per cent of the victims were male. Fourteen per cent of patients had an Injury Severity Score (ISS) > 15. Sixty-five per cent of cases were stab injuries and 20% gunshot injuries with the abdomen being the most commonly injured site. Twenty-one per cent of patients underwent laparotomy, 1.6% thoracotomy and 1.2% thoracotomy and laparatomy. There were 10 (4%) deaths. Trends in incidence of penetrating trauma and violent crime involving weapons were analysed. Static trends were observed for the annual incidence of penetrating trauma from the Liverpool Hospital Trauma Registry. Separations for penetrating trauma from Liverpool and Fairfield hospitals showed a slightly increasing trend. Violent crimes involving weapons in the Liverpool and Fairfield LGA showed a static trend. Nevertheless, separations for penetrating trauma and rates of violent crimes involving weapons were higher in south-western Sydney than metropolitan Sydney or NSW. Eight per cent of the LGA population are Vietnamese but this study identified 16% of victims as being Vietnamese.
This study found no significant increase in penetrating trauma or violent crime predisposing to penetrating injury in south-western Sydney.
澳大利亚很少有研究描述穿透性创伤的流行病学情况。本研究描述了穿透性损伤的发病率和人口统计学特征，重点是趋势和严重程度分析。
利用利物浦医院创伤登记处（1989 - 94年）、新南威尔士州卫生部医院出院数据（1991 - 93年）以及新南威尔士州犯罪统计局（1991 - 93年）的数据，并参考利物浦和费尔菲尔德地方政府区域（LGA）进行病例分析。
创伤登记处显示有251例穿透性创伤。中位年龄为26岁（四分位间距21 - 33岁）。91%的受害者为男性。14%的患者损伤严重度评分（ISS）> 15。65%的病例为刺伤，20%为枪伤，腹部是最常受伤的部位。21%的患者接受了剖腹手术，1.6%接受了开胸手术，1.2%接受了开胸和剖腹手术。有10例（4%）死亡。分析了穿透性创伤和涉及武器的暴力犯罪的发病率趋势。利物浦医院创伤登记处的穿透性创伤年发病率呈现静态趋势。利物浦和费尔菲尔德医院因穿透性创伤的出院人数呈略有上升趋势。利物浦和费尔菲尔德地方政府区域涉及武器的暴力犯罪呈静态趋势。然而，悉尼西南部因穿透性创伤的出院人数和涉及武器的暴力犯罪率高于悉尼大都市或新南威尔士州。该地方政府区域8%的人口是越南人，但本研究确定16%的受害者为越南人。
本研究发现悉尼西南部的穿透性创伤或易导致穿透性损伤的暴力犯罪没有显著增加。
