{"title":"[从窗户跳下去的伤害模式。48例病例分析[j]。","authors":"K Moeller, R Letsch","doi":"10.1007/BF02630219","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 4","pages":"137-43"},"PeriodicalIF":0.6000,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02630219","citationCount":"6","resultStr":"{\"title\":\"[Injury pattern in leaps from a window. A case analysis of 48 patients].\",\"authors\":\"K Moeller, R Letsch\",\"doi\":\"10.1007/BF02630219\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":29789,\"journal\":{\"name\":\"Unfallchirurgie\",\"volume\":\"23 4\",\"pages\":\"137-43\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"1997-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1007/BF02630219\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Unfallchirurgie\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/BF02630219\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Unfallchirurgie","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/BF02630219","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
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。
[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.