摘要
Abstract
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 .关键词
煤矿事故/多发伤/流行病学Key words
colliery accident/multiple injuries/epidemiologic study
