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[从窗户跳下的损伤模式。48例患者的病例分析]

[Injury pattern in leaps from a window. A case analysis of 48 patients].

作者信息

Moeller K, Letsch R

机构信息

Abteilung für Unfallchirurgie, Krankenhaus Am Urban, Berlin-Kreuzberg.

出版信息

Unfallchirurgie. 1997 Aug;23(4):137-43. doi: 10.1007/BF02630219.

Abstract

We report about 48 patients who sustained a deceleration trauma after jumping out of a window. The average free fall height was 11.6 m. 45.8% of the patients suffered from psychic disorders. 12.5% were addicted to opiates or hallucinogenics. The lethality of the analysed group was 12.5%. Within the group of spinal injuries (66.7%) compression- and bursting vertebra fractures of the thoracolumbar spine dominate. Injuries of the osseus pelvic ring (62.5%) and the thorax (64.6%) were equally often in all free falls. Abdominal- (25%) and head trauma (35.4%) occurred less at the patients in our clinic. At the extremities a predeliction of injuries of joint near and joint building osseus structures was noticeable. Out of the 103 injuries of the lower extremities 57.3% concerned foot, ankle and the distal lower leg. With increasing height of the falls the rate of multi-injuries and chain fractures raised. Out of the 37 injuries of the upper extremities 40.5% concerned hand and distal forearm and 29.7% the elbow.

摘要

我们报告了48例从窗户跳下后遭受减速创伤的患者。平均自由落体高度为11.6米。45.8%的患者患有精神障碍。12.5%的患者对鸦片类药物或致幻剂成瘾。分析组的致死率为12.5%。在脊柱损伤组(66.7%)中,胸腰椎的压缩性和爆裂性椎体骨折占主导。在所有自由落体中,骨盆环损伤(62.5%)和胸部损伤(64.6%)的发生率相同。腹部损伤(25%)和头部创伤(35.4%)在我们诊所的患者中较少发生。在四肢,关节附近和构成关节的骨性结构的损伤较为明显。在103例下肢损伤中,57.3%涉及足部、踝关节和小腿远端。随着坠落高度的增加,多发伤和连锁骨折的发生率升高。在37例上肢损伤中,40.5%涉及手部和前臂远端,29.7%涉及肘部。

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