在儿童骑行者中揭示实用地形车辆上肢疾病
Emily M Graham1, Hunter Frederiksen2, Stanley Memmott2
1Section of Plastic and Reconstructive Surgery, University of Michigan, Ann Arbor, MI.
Journal of hand surgery global online
|April 4, 2025
概括
从实用地形车辆 (UTV) 造成的儿童伤害比全地形车 (ATV) 更严重,导致更多的截肢和重建手术. UTV事故导致年轻骑手遭受毁灭性的上肢创伤.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤 儿童创伤
- 公共卫生 公共卫生
背景情况:
- 越野车和UTV等越野车是儿科上肢创伤的常见原因.
- 了解与不同车型相关的受伤模式对于预防和治疗至关重要.
研究的目的:
- 为了比较儿童上肢 (UE) 创伤的严重程度,由全地形车 (ATV) 与实用地形车 (UTV) 事故造成的.
- 调查ATV和UTV事件之间的伤害肢解,截肢率,外科干预和医院/ICU入院的差异.
主要方法:
- 在创伤中心从2010年至2021年对与ATV或UTV使用相关的儿科UE损伤病例的回顾性审查.
- 分析了来自5个州的42例患者病例,根据车辆类型使用统计测试比较伤害结果.
主要成果:
- 儿童UTV骑手的UE血管损伤率是ATV骑手的三倍,部分手臂截肢的数量是ATV骑手的近七倍.
- 平均而言,UTV骑手需要1.5次额外的重建手术.
- 根据车辆类型,在住院或重症监护室停留时间方面没有发现显著差异.
结论:
- 与全地形车辆 (ATV) 事故相比,实用地形车辆 (UTV) 事故与儿童上肢受伤的严重程度和损伤有关.
- 手术医生在倡导儿童骑行者安全和管理越野车辆事故造成的严重创伤方面发挥着至关重要的作用.
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