检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2013年
24期
3324-3325,3360
,共3页
刘铭%魏小兰%杨永湘%易明杰%张健
劉銘%魏小蘭%楊永湘%易明傑%張健
류명%위소란%양영상%역명걸%장건
煤矿事故%多发伤%流行病学
煤礦事故%多髮傷%流行病學
매광사고%다발상%류행병학
colliery accident%multiple injuries%epidemiologic study
目的：探讨位于丘陵、山地特殊地质地貌下，重庆市煤矿生产过程中造成多发性创伤的构成特征，为其防治提供客观依据。方法调查重庆永荣矿业有限公司总院1999～2010年683例多发性创伤病源信息，分析多发性创伤年龄分布、致伤因素、致伤类型、住院时间、治疗结果及煤矿事故致多发伤性创伤的发展趋势。结果683例多发性创伤中男675例（98．8％），女8例（1．2％），平均年龄36岁；多发伤伴骨折478例（70％），非骨折多发创伤205例（30％）；开放性创伤287例（42％），闭合性创伤396例（58％）；损伤年龄主要集中在35～50岁；致伤因素主要是煤矿石砸伤和煤车挤压伤；住院时间少于100 d占87．5％、≥100 d占12．5％；损伤严重程度多发创伤严重程度评分小于16分占66％，16～25分占18％，＞25分占16％；治愈率75．7％，病死率1．4％。多发伤发病近年呈上升发展趋势。结论煤矿石砸伤及煤矿车挤压伤为其主要致伤因素，骨折部位以下肢、脊柱及头颅、肋骨为主；非骨折部位损伤以多类型皮肤损伤和神经系统损伤为主。应根据不同致伤原因、致伤部位采取相应预防和治疗措施。
目的：探討位于丘陵、山地特殊地質地貌下，重慶市煤礦生產過程中造成多髮性創傷的構成特徵，為其防治提供客觀依據。方法調查重慶永榮礦業有限公司總院1999～2010年683例多髮性創傷病源信息，分析多髮性創傷年齡分佈、緻傷因素、緻傷類型、住院時間、治療結果及煤礦事故緻多髮傷性創傷的髮展趨勢。結果683例多髮性創傷中男675例（98．8％），女8例（1．2％），平均年齡36歲；多髮傷伴骨摺478例（70％），非骨摺多髮創傷205例（30％）；開放性創傷287例（42％），閉閤性創傷396例（58％）；損傷年齡主要集中在35～50歲；緻傷因素主要是煤礦石砸傷和煤車擠壓傷；住院時間少于100 d佔87．5％、≥100 d佔12．5％；損傷嚴重程度多髮創傷嚴重程度評分小于16分佔66％，16～25分佔18％，＞25分佔16％；治愈率75．7％，病死率1．4％。多髮傷髮病近年呈上升髮展趨勢。結論煤礦石砸傷及煤礦車擠壓傷為其主要緻傷因素，骨摺部位以下肢、脊柱及頭顱、肋骨為主；非骨摺部位損傷以多類型皮膚損傷和神經繫統損傷為主。應根據不同緻傷原因、緻傷部位採取相應預防和治療措施。
목적：탐토위우구릉、산지특수지질지모하，중경시매광생산과정중조성다발성창상적구성특정，위기방치제공객관의거。방법조사중경영영광업유한공사총원1999～2010년683례다발성창상병원신식，분석다발성창상년령분포、치상인소、치상류형、주원시간、치료결과급매광사고치다발상성창상적발전추세。결과683례다발성창상중남675례（98．8％），녀8례（1．2％），평균년령36세；다발상반골절478례（70％），비골절다발창상205례（30％）；개방성창상287례（42％），폐합성창상396례（58％）；손상년령주요집중재35～50세；치상인소주요시매광석잡상화매차제압상；주원시간소우100 d점87．5％、≥100 d점12．5％；손상엄중정도다발창상엄중정도평분소우16분점66％，16～25분점18％，＞25분점16％；치유솔75．7％，병사솔1．4％。다발상발병근년정상승발전추세。결론매광석잡상급매광차제압상위기주요치상인소，골절부위이하지、척주급두로、륵골위주；비골절부위손상이다류형피부손상화신경계통손상위주。응근거불동치상원인、치상부위채취상응예방화치료조시。
Objective To research the constitute characters of multiple bone fracture occurred in the coal mine in Chongqing ,which located in the special geology and geomorphic of hilly and mountainous region ,in order to pro-vide objective basis for preventing this kind of injure .Methods Investigated the source information of 683 patients with multiple bone fracture in the Yongrong sub center of Chongqing mine medical center from 1999 to 2010 ,then an-alyzed the age distribution ,injury factors ,injury type ,length of hospital stay ,therapeutic effect and the development trend of multiple bone fractures caused by coal mine accidents .Results Among 683 patients with multiple bone frac-tures ,675 cases were male(98 .8% ) ,8 cases were female(1 .2% ) ,the average age of them was 36 ;478 cases were multiple injuries accompanied with fractures (70% ) ,and 205 cases were the non-fracture multiple injuries (30% ) , 287 cases were open fractures (42% ) ,while the other 396 cases were closed fractures (58% );Patients range in age from 35 to 50 ,Coal stone crushing and coal car extruding were the main injury factors ;87 .5% of patients stayed in hospital less than 100 days ,while 12 .5% of patients stayed in hospital more than 100days;The injuries severe degree were evaluated according to ISS :mild ,scoring <16 ,account for 66% ;moderate ,scoring 16-25 ,account for 18% ;se-vere ,scoring >25 ,account for 16% .Recovery rate was 75 .7% ,mortality was 1 .4% ;There was an upward trend in recent years .Conclusion Coal stone crushing and coal mine car extruding are the main injury factors .Lower limb , spine ,skull and rib are the major fracture sites ;All kinds of skin and nerves system injuries are the major non-frac-ture injury sites .Doctor should take appropriate measures to prevent it according to different causes and sites of inju-ry .
