Clinic–anatomical characteristic of the traffic–transport trauma in the megapolis environment First communication: the damage volume

S. O. Guryev, V. A. Kushnir
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引用次数: 4

Abstract

Objective. To determine the damage volume as a significant component of clinical–anatomical characteristic of traumas in the injured persons, who have obtained the trauma as a consequence of the traffic–transport accidents in the megapolis environment. Materials and methods. Retrospective analysis of data, concerning 1139 injured persons, who have got trauma as a consequence of the traffic–transport accidents in the City of Kyiv in the period 2019–2020 yrs. Results. There was established, that up to 70% of the injured persons have got a small volume of damage – with injuries of up to three anatomic–functional sites. Only 9% of such injured persons have got a big volume of trauma. The trauma volume have impacted the result of the traumatic process course with the discovered tendency for enhancement of part of the injured persons, obtaining negative result as a consequence of the trauma volume enhancement. Conclusion. Among the traumas, which were got by the injured persons as a consequence of the traffic–transport accidents in the megapolis environment, the restricted by volume trauma prevails – up to 75.42%. Injuries of four anatomic–functional sites as a consequence of the traffic–transport accidents constitute a critical volume of the damage obtained for these category of injured persons. The damage volume in the injured persons, who were traumatized due to the traffic–transport accidents depends immediately upon such factor as «the taking part in the injured person movement», while the biggest influence have demonstrated the factor of «taking part in the pedestrian movement». The factor, named as a «taking part in movement of the injured person» impacts immediately the result of the traumatic process course in any volume of the damage, and this influence is enhancing with the damage volume enhanced.
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大城市环境中交通运输创伤的临床解剖学特征
目标。目的:确定大城市交通事故中受伤人员的损伤体积作为创伤临床解剖特征的重要组成部分。材料和方法。对2019-2020年期间基辅市交通运输事故造成创伤的1139名伤者的数据进行回顾性分析。结果。已经确定的是,高达70%的伤者都有少量的损伤,最多有三个解剖功能部位的损伤。只有9%的伤者有很大的创伤。创伤体积对创伤过程的结果有影响,发现部分受伤者有增强的倾向,创伤体积增强的结果是消极的。结论。在大城市环境中,交通事故造成的伤者创伤中,受体积限制的创伤居多,达75.42%。交通运输事故造成的四个解剖功能部位的损伤是这类受伤者所受损害的关键部分。交通运输事故中受伤人员的损伤量直接取决于“参与伤者运动”因素,而影响最大的是“参与行人运动”因素。这一因素被称为“参与伤者的运动”,它直接影响着创伤过程过程中任何损伤量的结果,并且这种影响随着损伤量的增加而增强。
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