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【medical-news】雪崩遇难者受伤的种类和严重程度
Pattern and severity of injury in avalanche victims.
Hohlrieder M, Brugger H, Schubert HM, Pavlic M, Ellerton J, Mair P.
Department of Anesthesiology and Critical Care Medicine, Medical University
Innsbruck, Innsbruck, Austria. matthias.hohlrieder@i-med.ac.at
In avalanche accidents, the significance of major trauma as a cause of morbidity and mortality is controversial. The aim of this retrospective study is to determine the severity and pattern of injury in avalanche victims admitted to the University Hospital of Innsbruck between 1996 and 2005. A total of 49 significant injuries were found in 105 avalanche victims; the most frequent were of the extremities (n = 20), the chest (n = 18), and the spine (n = 7). In contrast, cerebral (n = 2), abdominal visceral (n = 1), and pelvic trauma (n = 1) were rare. The severity of injury was minor or moderate in most patients, with only 9 (8.6%) being severely or critically injured. Of 105 (34.3%) avalanche victims, 36 died. Autopsy was performed in 30 of 36 nonsurvivors. The cause of death in the remaining 6 victims was concluded from clinical, radiological, and electrophysiological findings. Trauma was responsible for deaths of only 2 avalanche victims (5.6%); both had cervical spine fractures with dislocation leading to death. One death was due to hypothermia, whereas the remaining 33 fatalities (91.7%) were due to asphyxia. The incidence of life-threatening or lethal trauma was well below 10%. Asphyxia is by far the most important reason for death. Deaths from trauma were solely due to isolated cervical injuries, demonstrating that the cervical spine may be a region at particular risk in avalanche victims.
PMID: 17394418 [PubMed - indexed for MEDLINE] 本人已认领，12h内交稿 Pattern and severity of injury in avalanche victims.
雪崩遇难者受伤的种类和严重程度
Hohlrieder M, Brugger H, Schubert HM, Pavlic M, Ellerton J, Mair P.
作者：Hohlrieder M, Brugger H, Schubert HM, Pavlic M, Ellerton J, Mair P.
Department of Anesthesiology and Critical Care Medicine, Medical University
Innsbruck, Innsbruck, Austria. matthias.hohlrieder@i-med.ac.at
地址：奥地利因斯布鲁克医学院麻醉和急症医学院matthias.hohlrieder@i-med.ac.at
In avalanche accidents, the significance of major trauma as a cause of morbidity and mortality is controversial.
在雪崩事故中，认为大面积创伤是引起发病率和死亡率的主要原因存在争议。
The aim of this retrospective study is to determine the severity and pattern of injury in avalanche victims admitted to the University Hospital of Innsbruck between 1996 and 2005.
本文通过对1996年至2005年间因斯布鲁克医学院附属医院收治的雪崩遇难者进行回顾性研究来分析雪崩引起创伤的严重度和种类。
A total of 49 significant injuries were found in 105 avalanche victims; the most frequent were of the extremities (n = 20), the chest (n = 18), and the spine (n = 7). In contrast,cerebral (n = 2), abdominal visceral (n = 1), and pelvic trauma (n = 1) wererare.
在105名雪崩遇难者中共49位患有明显的外伤，其中发生率最高的部位是四肢（20 例）、胸部（18 例）、脊柱（7例），而脑（2例）、腹部内脏（1例）和骨盆（1例）的损伤少见。
The severity of injury was minor or moderate in most patients, with only 9 (8.6%) being severely or critically injured. Of 105 (34.3%) avalanche victims, 36 died. Autopsy was performed in 30 of 36 nonsurvivors.
大多数病人的受损伤的程度很轻或一般，只有9例（8.6％）程度较重甚至是致命的。在所有的105名遇难者中有36名死亡。我们对其中的30名进行了尸检。
The cause of death in the remaining 6 victims was concluded from clinical, radiological, and electrophysiological findings.
而对剩下的6名死亡者我们从临床表现、影像学检查和电生理学等方面分析其死亡原因。
Trauma was responsible for deaths of only 2 avalanche victims (5.6%); both had cervical spine fractures with dislocation leading to death.
研究发现只有2人（5.6％）雪崩遇难者的死因是外伤,因为这2 人颈椎骨折错位,最终导致了死亡。
One death was due to hypothermia, whereas the remaining 33fatalities (91.7%) were due to asphyxia.
1人死于低体温，而33人（91.7％）死于窒息。
The incidence of life-threatening or lethal trauma was well below 10%. Asphyxia is by far the most important reason for death.
致命性外伤的发生率低于10％，而窒息是目前为止最主要的死因。
Deaths from trauma were solely due to isolated cervical injuries, demonstrating that the cervical spine may be a region at particular risk in avalanche victims.
单纯的颈部外伤也可以致死，这说明对雪崩遇难者来说颈椎棘突是一个特别危险的区域。
雪崩遇难者受伤的种类和严重程度
作者：Hohlrieder M, Brugger H, Schubert HM, Pavlic M, Ellerton J, Mair P.
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作者:admin@医学,生命科学 2010-09-25 05:11
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