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儿童上肢枪支相关伤害:一级儿童创伤中心的经验

Ann Carol Braswell¹, Edgar Soto², Andrew D Bloom³

¹University of Alabama at Birmingham and Children's of Alabama Hospital, Department of Orthopedic Surgery, Birmingham, Alabama.

The western journal of emergency medicine

|December 11, 2025

概括

在过去十年中,儿童上肢枪支相关伤害 (FRI) 增加了380%. 人们注意到伤害严重程度的增加和住院时间的延长,这强调了加强枪支安全教育的必要性.

科学领域:

创伤外科手术创伤外科
儿科手术儿科手术
公共卫生公共卫生

背景情况:

枪支伤害在儿科患者中越来越令人担忧.
关于儿科上肢枪支相关伤害 (FRI) 的研究有限.
本研究通过检查风险因素,损伤严重程度和儿科上肢FRI的管理来解决这一差距.

研究的目的:

确定儿科上肢FRIs的人口和环境风险因素.
评估伤害严重程度,相关伤害和外科手术干预率.
分析二十年来儿科上肢FRI的趋势.

主要方法:

在2001年至2020年期间,对540名患有枪支相关伤害的儿科患者 (<18岁) 进行了回顾性分析.
专注于72名上肢FRI患者,按干预类型和呈现十年分层.
收集了关于伤害特征,医院人口统计,住院时间,伤口数和神经缺陷的数据.

主要成果:

在过去十年 (2011-2020年) 中,与前一个十年相比,儿科上肢FRI增加了380%.
2010年以后出现的患者有更多的枪伤,但需要更少的ICU入院.
手术干预与较高的软组织损伤率,运动缺陷和更长的住院时间有关.

结论:

儿科上肢枪支伤害的频率显著增加.
尽管受伤率上升,但在过去十年里,ICU的入院人数有所下降.
继续强调为儿童提供枪支安全教育至关重要.

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