Shatz D V, Kirton O C, McKenney M G, Ginzburg E, Byers P M, Augenstein J S, Sleeman D, Aguila Z
Department of Surgery, University of Miami, Florida 33101, USA.
J Trauma. 1998 Jan;44(1):198-201. doi: 10.1097/00005373-199801000-00029.
The increased popularity of personal watercraft (PWC) has resulted in an increase in PWC-related injuries. In an effort to better understand the problem, a retrospective review of 37 victims of such injuries seen at a Level I trauma center and fatalities examined by the medical examiner were analyzed.
Fourteen percent of the victims were passengers, two of whom were struck from behind, resulting in severe injuries. Twelve patients died of their injuries. For six victims, the cause of death was drowning; only one of these victims was wearing a personal flotation device. Two patients sustained transected aortas, 20% had brain injuries, 20% had spinal fractures, and 48% had skeletal and skull fractures. Abdominal organ injuries were present in only 13.5% of the victims, but they were significant, with liver, spleen, and kidney lacerations and aortic and renal artery injuries.
In this population of victims of PWC crashes meeting preestablished trauma criteria or on-scene deaths, injuries were significant. Many of the drowning deaths may have been prevented with the use of personal flotation devices. The potential for serious intra-abdominal injury must be recognized and dealt with appropriately.
个人水上摩托（PWC）越来越受欢迎，导致与PWC相关的伤害有所增加。为了更好地了解这一问题，我们对在一级创伤中心就诊的37名此类伤害受害者以及由法医检查的死亡病例进行了回顾性分析。
14%的受害者是乘客，其中两人被从后面撞击，造成重伤。12名患者因伤死亡。6名受害者死于溺水；这些受害者中只有一人佩戴了个人漂浮装置。两名患者主动脉横断，20%有脑损伤，20%有脊柱骨折，48%有骨骼和颅骨骨折。仅13.5%的受害者有腹部器官损伤，但这些损伤很严重，包括肝、脾和肾撕裂伤以及主动脉和肾动脉损伤。
在这群符合既定创伤标准的PWC碰撞受害者或现场死亡者中，损伤严重。使用个人漂浮装置可能会预防许多溺水死亡。必须认识到并妥善处理严重腹部内损伤的可能性。
