基于新的死后人体试验系列和建议的几种THOR胸部损伤标准的评估。

Q2 Medicine Stapp car crash journal Pub Date : 2019-11-01 DOI:10.4271/2019-22-0012
Xavier Trosseille, Philippe Petit, Jérôme Uriot, Pascal Potier, Pascal Baudrit
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引用次数: 1

摘要

为了确定预测THOR假人胸部损伤风险的最相关标准,进行了几项文献研究。标准,如最大偏转或包括胸部左右偏转差异在内的参数组合,都是基于给定的死后人体受试者(PMHS)样本制定的。然而,这些方法并没有经过独立数据的验证,也并不总是与现场数据分析的观察结果一致。为此,进行了8项额外的PMHS和匹配的THOR测试,以评估标准预测风险的能力。事故调查表明,减少皮带负荷可以降低肋骨骨折的风险。因此选择了两种不同程度的力限制结构。选择代表普通欧洲车辆的配置作为参考。它包括一个3点皮带与3.5千牛,然后2千牛的偏离限制器,结合了一个54升的安全气囊。为了更好的再现性和耐久性,测试使用预充气袋和半刚性座椅进行。在第一种配置中,THOR假人的最大挠度为43毫米。为了区分标准,选择了第二种配置,使THOR假人产生大致相同的挠度,但带力限制为5 kN,并结合了较低压力的安全气囊。为了达到43毫米的目标,降低了脉冲强度。在第二种配置中,一些标准更高,这使得它们与最大挠度标准区分开来。每种配置对4个PMHS进行了4次测试。损伤评估表明,两种配置下的裂缝总数几乎相同,但5 kN配置下的分离裂缝数量更多。在3.5/2 kN载荷限制配置下,25%的受试者出现与移位骨折数量相关的AIS >3损伤。结果在5kN配置中增加到75%。总共进行了8次PMHS和匹配的THOR试验,并用于评估胸廓标准在两种胸腔负荷配置下预测肋骨骨折的能力。测试结果并不能得出THOR假人所测量的标准与尸检中确定的肋骨骨折总数(NFR)的相关性。然而,对分离性肋骨骨折(NSFR)的不同评估使得区分标准成为可能。最大结果挠度不能正确预测分离性肋骨骨折,而包括左右肋骨挠度差异在内的其他标准可以。
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Assessment of Several THOR Thoracic Injury Criteria based on a New Post Mortem Human Subject Test Series and Recommendations.

Several studies, available in the literature, were conducted to establish the most relevant criterion for predicting the thoracic injury risk on the THOR dummy. The criteria, such as the maximum deflection or a combination of parameters including the difference between the chest right and left deflections, were all developed based on given samples of Post Mortem Human Subject (PMHS). However, they were not validated against independent data and they are not always consistent with the observations from field data analysis. For this reason, 8 additional PMHS and matching THOR tests were carried out to assess the ability of the criteria to predict risks. Accident investigations showed that a reduction of the belt loads reduces the risk of rib fractures. Two configurations with different levels of force limitation were therefore chosen. A configuration representing an average European vehicle was chosen as a reference. It consists of a 3-point belt with a 3.5 kN and then 2 kN digressive limiter, combined with a 54-liter airbag. For better reproducibility and durability, the tests were performed with a pre-inflated bag and a semi-rigid seat. In this first configuration, the THOR dummy had a maximum resulting deflection of 43 mm. To differentiate the criteria, the second configuration was chosen such that it resulted in about the same deflection on the THOR dummy, but with a 5 kN belt force limitation combined with a lower pressure airbag. To reach this target of 43 mm, the pulse severity was lowered. Some criteria were higher in this second configuration, which allows them to be distinguished from the maximum deflection criterion. Four tests on four PMHS were performed in each configuration. The injury assessments showed that the total number of fractures was almost the same in both configurations, but that the number of separated fractures was greater in the 5 kN configuration. 25% of the subjects sustained AIS >3 injuries related to the number of displaced fractures in the 3.5/2 kN load limitation configuration. The result increased to 75% in the 5kN configuration. In total, 8 PMHS and the matching THOR tests were performed and used to assess the ability of the thoracic criteria to predict rib fractures in 2 types of chest loading configurations. The test results did not allow to conclude on the relevance of the criteria measured on the THOR dummy for the total number of rib fractures identified at autopsy (NFR). However, clearly different assessments for separated rib fractures (NSFR), make it possible to differentiate the criteria. The maximum resultant deflection failed to properly predict separated rib fractures while other criteria that include the left-to-right rib deflection difference did.

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Stapp car crash journal
Stapp car crash journal Medicine-Medicine (all)
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