183例儿童坠落伤患者流行病学特点分析

Epidemiologic features of 183 children with fall-from-height injury

目的 分析儿童坠落伤患者的流行病学特点,为预防及科学救治提供依据. 方法 采用填写调查表的方式收集温州医科大学附属第二医院2011年1月-2012年12月收治的儿童坠落伤患者,分析流行病学特点及相关因素之间的关系. 结果 儿童坠落伤常发生于天气转暖的季节,即每年的4,5月份,且较集中于每天中午和傍晚家长疏于防范的时间.坠落最常发生的地点是楼梯和阳台.头部是最容易受伤的部位.坠落高度是影响伤情的最主要因素. 结论 加强重点区域防护改造、加大坠落伤发生高峰时间段的监管力度,可在一定程度上减少儿童坠落伤的发生.

Objective To detect the epidemiologic features of pediatric patients with fall from height injury in an effort to provide a reference for prevention and scientific treatment. Methods Da- ta of pediatric patients with fall from height injury treated from January 2011 to December 2012 were collected in the form of questionnaires. Epidemiologic features and relationship of associated factors were measured. Results Pediatric fall injury occurred very often in warmer season, namely on April and May, and in a day, it was more likely to happen when parents slacked at noon and night. Stairs and balconies were the most common sites of falls and head was most vulnerable to the injury. Falling height was the primary factor to the severity of injury. Conclusion To strengthen the protection reform in key areas, the supervision in peak time for falls and the care to children of the migrant workers can re- duce fall injury in a certain extent.