Zentner J, Franken H, Löbbecke G
Department of Neurosurgery, University of Bonn, Germany.
Clin Neurol Neurosurg. 1996 Nov;98(4):281-5. doi: 10.1016/0303-8467(96)00036-4.
This study comprises a total of 159 victims from bicycle accidents treated as inpatients at the Department of Neurosurgery, University of Bonn between January 1987 and June 1995. It was our aim to define the severity and features of bicycle-related head injuries in a defined population. Our results show that 33% of admitted bicycle victims sustained severe head injuries (Glasgow Coma Score 3-8). Neurosurgical operations were performed in 49% of patients and were mainly related to the evacuation of an extracerebral hematoma. Of the 159 bicycle victims, 112 (70%) made a good recovery, 11 (7%) remained moderately and 4 (3%) severely disabled, and 26 (16%) had died at follow-up (mean 2 years). In conclusion, our data indicate that bicycle-related trauma accounts for a substantial proportion of all head injuries requiring neurosurgical treatment. Active (e.g. traffic regulations, education of riders) and passive measures (e.g. safety helmets) can be expected to reduce both incidence and severity of head injuries among bicyclists.
本研究共纳入了1987年1月至1995年6月期间在波恩大学神经外科作为住院患者接受治疗的159名自行车事故受害者。我们的目的是确定特定人群中与自行车相关的头部损伤的严重程度和特征。我们的结果显示，33%的入院自行车事故受害者遭受了严重头部损伤（格拉斯哥昏迷评分3 - 8分）。49%的患者接受了神经外科手术，主要与脑外血肿的清除有关。在159名自行车事故受害者中，112人（70%）恢复良好，11人（7%）仍有中度残疾，4人（3%）有重度残疾，26人（16%）在随访（平均2年）时死亡。总之，我们的数据表明，与自行车相关的创伤在所有需要神经外科治疗的头部损伤中占相当大的比例。可以预期，主动措施（如交通法规、骑车人教育）和被动措施（如安全帽）能够降低骑自行车者头部损伤的发生率和严重程度。
