澳門地區兒童少年骨關節創傷的分析與預防

Analysis and Prevention of the Skeletal Trauma of Different Children and Adolescent Age Groups in China Macao District

目的分析中国澳門鏡湖醫院10年收治兒童少年943例骨關節創傷,提出預防意見。方法根據1993年2月~2002年12月收治新生兒至18歲943例骨關節創傷病例,作統計分析。結果男女比例2.44:1。發生骨折脫位995處。其中骨折976處。以上肢胃折最多645處。前臂佔240處,脛腓與肱胃髒骨折次之。創傷以跌傷爲主。按年齢階段分析,有四個高峰。第一個是產傷鎖胃胃折46例,佔同期出生婆兒的0.3%。第二個在1-5歲,主要是肱骨課骨折(60處)和前臂骨折(41處)。第三個在6~11歲,以前臂胃折(99處)脛腓骨骨折(92處)和肱胃髒骨折(75處)爲主。第四個在12-18歲,以運動外傷的前臂骨折(100處)爲主。結論預防措施:提高助娩技術。重視幼兒看管。加強小學生的健康教育和安全教育。預防中學的運動外傷。

Objective To analyze the Skeletal Trauma in recent ten years admitted to the China Macao Kiang Wu hospital.Methods 943 cases of Skeletal Trauma from 1993-02 to 2002-12 were reviewed and evaluation.Results There were 669 male and 274 female and the ratio was 2.44:1.There were 955 skeletal trauma in 943 patients,including 645 fractures in upper extremity.The commonest fracture location was the forearm(240),followed by the tibia/fibula,and the humeral condyle.The etiology of Skeletal Trauma was falls.There were 4 summits occurring in these age groups:The first summit occurred at newborn period.There were 46 cases of neonatal clavicle fractures.The second summit occurred at 1-5 years.There were 60 cases of humeral condylar fractures.41 cases of forearm fractures and 37 cases of tibia/fibula fractures.The third summit occurred at 6-11 years.There were 99 cases of forearm fractures,92 cases of tibia/fibula fractures and 75 cases of humeral condylar fractures.The fourth summit occurred at 12-18 years.There were 100 cases of sport injury of forearm fractures.Conclusion To pay more attention on intraparatum management,children security care,health education and security education on primary school and sport injury.