交通事故与高空坠落致伤特点的比较研究  

Comparative Study of Injury Characteristics Between Traffic Accident Trauma and High Fall Injury

作　　者：谭宗奎[1] 王庆[1] 陈庄洪[1] 苏红军[1] 徐峰[1] 刘曦明[1] 

机构地区：[1]广州军区武汉总医院骨科,湖北武汉430070

出　　处：《伤残医学杂志》2003年第4期13-15,共3页Medical Journal of Trauma and Disability

摘　　要：研究交通事故与高空坠落致伤规律及特点的差异。方法:对1305例交通事故伤和825例高空坠落伤病例进行比较分析。结果:交通事故伤的致伤部位及伤情程度与车辆撞击方式、车辆类型、车速等因素有关。高空坠落伤的损伤部位和伤情程度则取决于坠落高度、着地姿势、地面性质、年龄及体重等因素。就损伤部位与类型而论,交通事故多伴有严重软组织伤,以开放性损伤较多,下肢伤多见,其中左侧肢体损伤所占比例更大。高空坠落常伴有其他部位的连锁性损伤,以腹部、臀部、脊柱损伤较多,其损伤程度比交通事故伤重,更易引起伤残和死亡。结论:不同致伤条件其损伤发上情况、致伤规律、伤情特点明显不同。充分认识并掌握交通事故与高空坠落致伤规律及特点,对临床诊断与救治具有重要意义。To study the difference of the regularity and characteristics between traffic accident trauma and high fall injury. Methods: 1305 patients with traffic accident trauma and 825 patients with high fall injury were analyzed. Results: The injury patterns and the injury severity after traffic accident trauma were decided by the vehicle impact way, the vehicle type and the vehicle velocity. In high fall injury, that depended upon the fall height, the landing position, the circumstances, the age and weight. In regard to injury region and pattern, traffic accident patients were more adopted to suffer serious soft tissue injury, and open injury seemed to be more frequent. It's extremities injury was towards a significant preference in the left side limbs. However, in high fall patients, injury in abdomen and buttock and spine revealed a higher ratio. This patient injury severity was serious, and there was a higher rates of disablement and death. Conclusion: It suggested that the regularity and characteristics of injury were significantly different between traffic accident trauma and high fall injury.

关 键 词：交通事故 高空坠落 意外伤害 临床特点 创伤 

分 类 号：R641[医药卫生—外科学]