[从窗户跳下去的伤害模式。48例病例分析[j]。

IF 0.6 4区 医学 Q4 EMERGENCY MEDICINE Unfallchirurgie Pub Date : 1997-08-01 DOI:10.1007/BF02630219
K Moeller, R Letsch
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引用次数: 6

摘要

我们报告了48例在跳窗后遭受减速创伤的患者。平均自由落体高度为11.6 m, 45.8%的患者存在精神障碍。12.5%的人对阿片类药物或致幻剂成瘾。分析组病死率为12.5%。在脊柱损伤组(66.7%)中,胸腰椎压迫性和爆裂性椎体骨折占主导地位。在所有自由落体中,骨盆骨环损伤(62.5%)和胸腔损伤(64.6%)的发生率相同。腹部创伤(25%)和头部创伤(35.4%)在我们诊所的患者中较少发生。在四肢关节附近和关节建筑骨结构损伤的预测是显著的。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,多发伤和链式骨折发生率升高。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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[Injury pattern in leaps from a window. A case analysis of 48 patients].

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.

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来源期刊
CiteScore
1.40
自引率
25.00%
发文量
0
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