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首页> 外文期刊>Journal of Local and Global Health Science >Analysis of facial injuries requiring ophthalmological care due to frontal vehicle collisions
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Analysis of facial injuries requiring ophthalmological care due to frontal vehicle collisions

机译：因正面车辆碰撞而需要眼科护理的面部受伤分析

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Motor vehicle collisions are responsible for a large number of ocular injuries. Although ocular injuries require an early ophthalmological examination at the time of trauma to detect any type of ocular dysfunction, some ophthalmological abnormalities are not detected after the facial injury owing to failure of referral ophthalmologists. This study aimed to investigate the prevalence of requiring ophthalmological care by evaluating the patterns and severity of ocular and severe facial injuries from real-world vehicle collisions in Japan. We collected data on vehicle passengers with any facial injuries who were involved in frontal collisions. Data were obtained from in-depth data records from the Institute for Traffic Accident Research and Data Analysis (ITARDA), Japan from 1993 to 2005. Collision information and victims' medical data were reviewed. The 226 victims had a mean age of 33.3 ± 14.9 years with an equivalent barrier speed of 35.2 ± 13.0 km/h. Thirty (13.3%) victims suffered ocular injury or fractures in the upper or middle face (OIFF). Victims with OIFF had a significantly higher severity of injuries, especially in the face and lower extremities, and suffered from a higher speed of collisions than those without OIFF (p0.001). Victims wearing seat belts had a significantly lower prevalence of having OIFF than those not wearing seat belts. Most of the victims with OIFF (29/30) were involved in collisions without deployment of airbags. To prevent severe ocular injuries, correct use of seat belts with airbag deployment is required. Additionally, the present study enhances that more victims with OIFF are cared for by ophthalmologists immediately after the collision, improving their quality of life and preventing conflicts owing to inadequate medical management.
机译：机动车碰撞是造成大量眼外伤的原因。尽管眼外伤需要在受伤时尽早进行眼科检查以发现任何类型的眼功能障碍，但是由于转诊眼科医生的失败，在面部受伤后仍未发现某些眼科异常。这项研究旨在通过评估日本现实世界中车辆碰撞造成的眼部和重度面部受伤的方式和严重性，调查需要眼科护理的患病率。我们收集了与正面碰撞有关的任何面部受伤车辆乘客的数据。数据来自1993年至2005年日本交通事故研究与数据分析研究所（ITARDA）的深入数据记录。对碰撞信息和受害者的医疗数据进行了审查。 226名受害者的平均年龄为33.3±14.9岁，等效障碍速度为35.2±13.0 km / h。 30名（13.3％）受害者眼部受伤或上，中脸骨折（OIFF）。患有OIFF的受害者的受伤严重性明显更高，尤其是在面部和下肢，并且与没有OIFF的受害者相比，发生碰撞的速度更高（p <0.001）。戴安全带的受害者患OIFF的患病率明显低于不戴安全带的受害者。 OIFF（29/30）的大多数受害者都参与了冲突，没有部署安全气囊。为防止严重的眼部伤害，需要在安全气囊展开的情况下正确使用安全带。此外，本研究还增强了碰撞发生后，眼科医生立即为更多的OIFF受害者提供护理，从而改善了他们的生活质量并防止了由于医疗管理不当造成的冲突。

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