Mendez-Fernandez M A
Mercy Medical Center and Plastic Surgery Associates of Redding, CA, USA.
Ann Plast Surg. 1998 Aug;41(2):113-8. doi: 10.1097/00000637-199808000-00001.
It is estimated that approximately 25% of the population of the United States participates in recreational boating activities in a given year. These activities result in 7,000 reported accidents, 60% of which result in injuries. Of these injuries, 19% are fatal (11.3% of accidents). Eighteen percent of these fatalities are caused by propellers (2% of accidents). The death toll from boating accidents ranks second among deaths in all modes of transportation. Open motorboats are involved in half of the fatalities recorded. Propeller injuries have an overall fatality rate of 15% to 17%, and a similar rate of major amputations. Experience with nine propeller injuries treated from 1990 to 1996 is presented. The mechanism of production, some technical aspects of propellers, as well as literature on the subject are reviewed. Three patients are described, demonstrating the severity of these injuries, their sequelae, and the challenges they represent.
据估计，在美国，每年约有25%的人口参与休闲划船活动。这些活动导致7000起事故报告，其中60%造成人员受伤。在这些受伤事故中，19%是致命的（占事故的11.3%）。这些死亡事故中有18%是由螺旋桨造成的（占事故的2%）。划船事故造成的死亡人数在所有交通方式导致的死亡中位列第二。记录的死亡事故中有一半涉及敞篷摩托艇。螺旋桨造成的伤害总体死亡率为15%至17%，严重截肢率也与此相近。本文介绍了1990年至1996年期间治疗的9起螺旋桨伤害事故的情况。对其产生机制、螺旋桨的一些技术方面以及该主题的文献进行了综述。描述了三名患者的情况，展示了这些伤害的严重性、后遗症以及所带来的挑战。
