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首页> 外文期刊>European journal of cardio-thoracic surgery: Official journal of the European Association for Cardio-thoracic Surgery >Rupture of the aorta following road traffic accidents in the United Kingdom 1992-1999. The results of the co-operative crash injury study.
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Rupture of the aorta following road traffic accidents in the United Kingdom 1992-1999. The results of the co-operative crash injury study.

机译：1992-1999年英国道路交通事故造成的主动脉破裂。合作碰撞伤害研究的结果。

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OBJECTIVE: The true incidence and survivability of blunt traumatic aortic rupture following road traffic accidents in the UK is unclear. The objective of this study was to determine the extent of blunt traumatic aortic rupture in the UK after road traffic accidents and the conditions under which it occurs. METHODS: Data for the study was obtained from the Co-operative Crash Injury Study database. Road traffic accidents that happened between 1992 and 1999 and included in the Co-operative Crash Injury Study database were retrospectively investigated. RESULTS: A total of 8285 vehicles carrying 14,435 occupants were involved in 7067 accidents. There were 132 cases of blunt traumatic aortic rupture, of which the scene survival was 9% and the overall mortality was 98%. Twenty-one percent of all fatalities had blunt traumatic aortic rupture (130/613). Twenty-nine percent were due to frontal impacts and 44% were due to side impacts. Twelve percent of the blunt traumatic aortic rupture cases in frontal vehicle impacts were wearing seat belts and had airbag protection and 19% had no restraint mechanism. The Equivalent Test Speed of the accident vehicles, (where equivalent test speed provides an estimate of the vehicle impact severity and not an estimate of the vehicle speed at the time of the accident), ranged from 30 to 110 km/h in frontal impacts and from 15 to 82 km/h in side impacts. CONCLUSION: Blunt traumatic aortic rupture carries a high mortality and occurred in 21% of car occupant deaths in this sample of road traffic accidents. Impact scenarios varied but were most common from the side. The use of an airbag or seat belt does not eliminate risk. The injury can occur at low severity impacts particularly in side impact.
机译：目的：英国道路交通事故后钝性外伤性主动脉破裂的真实发生率和存活率尚不清楚。这项研究的目的是确定道路交通事故后英国钝性外伤性主动脉破裂的程度及其发生的条件。方法：该研究的数据是从“合作性碰撞伤害研究”数据库中获得的。回顾性调查了1992年至1999年之间发生的道路交通事故，并将其纳入了“合作性撞车伤害研究”数据库。结果：共有8285辆汽车载有14435名乘客，共发生了7067起事故。 132例钝性外伤性主动脉破裂，其中现场生存率为9％，总死亡率为98％。在所有死亡中，有21％的人患有钝性主动脉破裂（130/613）。其中有29％是正面影响，而44％是侧面影响。在正面车辆碰撞中，有12％的钝性外伤性主动脉破裂病例戴着安全带并具有安全气囊保护，而19％的人没有约束机制。事故车辆的等效测试速度（其中等效测试速度提供了对车辆撞击严重性的估算，而不是事故发生时的车辆速度的估算），正面冲击的范围为30至110 km / h，时速从15到82 km / h。结论：在此道路交通事故样本中，钝性外伤性主动脉破裂死亡率高，发生在21％的乘车人死亡中。影响情景各不相同，但从侧面来看最常见。使用安全气囊或安全带不能消除危险。伤害可能发生在严重程度较低的碰撞中，尤其是在侧面碰撞中。

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