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从高空坠落是城市中钝性创伤的一种特殊形式。作者等复习了纽约Downstate医疗中心等两家医院36个月期间160例病人从1～7楼坠落经急症室抢救的经验,包括损伤情况的诊断、并发症和死亡原因的分析。病人平均年龄为31.7岁(13～74岁);男性123例,女性37例。26例到急症室时已休克,其中23例为出血经CT或血管造影发现22例为腹膜后出血;13例发生14处内脏损伤,其中6例(43％)为空腔脏器穿孔,仅1例为大出血;32例为头部损伤,其中17例CT扫描阴性、神志于24小时内恢复,余15例有颅骨骨折及
Falling from a height is a special form of blunt trauma in the city. The authors reviewed the experience of 160 patients who dropped from the first to seventh floor of the Accident and Emergency Department during the 36-month period at two hospitals in Downstate Medical Center, New York, including the diagnosis of injury, complications and causes of death. The average age of patients was 31.7 years (13 to 74 years); 123 males and 37 females. Twenty-six cases had been shocked to the emergency department, among which 23 cases were found to have hemorrhage by CT or angiography, and 22 cases were found to have retroperitoneal hemorrhage. Thirteen cases had visceral injuries in 14 cases, of which 6 cases (43%) were hollow organs perforated and only 1 case of hemorrhage; 32 cases of head injury, of which 17 cases of CT scan was negative, consciousness within 24 hours recovery, more than 15 cases of skull fracture and