摘要
本文对1991年1月至1997年7月在防城口岸就诊的798例国际海员病例中的162例伤害病例的伤害情况进行了分析。结果显示伤害病例占全部就诊病例的20.30%,平均伤害发生率122.46/10万,其中伤害死亡5例,平均伤害死亡率为3.78/10万元。伤害死亡占入出境海员死亡病例的71.43%,占总伤害病例的3.09%。162个伤害病例全部为男性。伤害状况分为7种,构成比居顺位前5种为:软组织损伤(50.00%)、单纯骨折(14.81%)、开放性骨折(11.11%)、眼外伤(9.26%)和中毒(6.97%);伤害类型共12种,其构成比居顺位前5种是:硬物击(挤压)伤(31.48%)、跌落(跌倒)(24.07%)、碰伤(13.58%)、眼异物致伤(8.03%)和利器刺割伤(6.97%);年龄分布集中在31—40岁年龄组及上下二个年龄组;工种分布以甲板部船员构成最高,占53.09%、其次为轮机部船员40.74%。作者认为国际海员职业安全系数相对较低,应加强安全教育和防范措施,提高自我保护意识并强化伤害救助。
The data of 162 injury cases among 798 international seamen entering or leaving Fangcheng frontier port from Jan 1991 to Jul 1997 were analyzed. The results showed that the injury cases accounted for 20. 03% of all cases in the port, the average injury rate was 122.46%/105,5 cases died. The average injury death rate was 3. 78/105,accounting for 3. 09% of the total injury cases and 71.43% of total injury death cases of seamen. The 162 injury cases were all male seamen. It can be calssified into kinds of diseases, the first five according to ratio were as follows; soft tissue injury(50. 00%) , simple fracture (14. 81%), open fracture (11. 11%),eye injury (9. 26%) and poisoning (6. 79%).
There were 12 types in all injury cases, the first five according to ratio were as follows; hard material striking (31. 48%) , falling (24. 07%) ,impact injury (13. 58%) ,eye injury by foreign body (8. 03%) and sharp material hurt (6.79%). The age distribution concentrated on 31-40 age group and 20-30 and 41 - 50 age group. The injury rate of seamen working on deck ranked the first place in all type of work, accounting for 53. 09% , the next was seamen working in engineroom, 40. 74%. The author proposed that because of low safety coefficient of the international seamen, safety education and measures should be enforced in order to raise selfprotection consciousness and to intensify the injury assistance.
关键词
国际海员
伤害
流行病学分析
International Seamen Injury Epidemiological Analysis