1. 中山大学中山医学院法医学系//广东省法医学转化医学工程技术研究中心,广东,广州,510080
2. 广州市公安局越秀区分局,广东,广州,510055
网络首发:2020-09-11,
纸质出版:2020
移动端阅览
高飞, 杨宁, 戴运达, 等. 基于颅骨及四肢骨骨折程度推测坠落高度[J]. 中山大学学报(医学科学版), 2020,41(5).
GAO Fei, YANG Ning, DAI Yun-da, et al. Prediction of Falling Height Based on the Fracture Degreeof Skull and Extremity Bones[J]. Journal of Sun Yat-sen University (Medical Sciences), 2020, 41(5).
【目的】探索高坠所致的颅骨及四肢骨的骨折程度与坠落高度的相关性。【方法】收集2014 年6 月至2018 年 5 月发生在广州市越秀区、具有颅骨骨折和(或)四肢骨骨折且无中间障碍物及接触面为硬质平面的高坠案例共66 例。根据《人体损伤程度鉴定标准》的线性、粉碎性及开放性3 种骨折形态等级分别赋值1~3 分,并参考《简明损伤定级标准 2005》损伤区域计算最大 AIS 值(MAIS)。针对坠落高度(Y)与颅骨骨折程度(X1)、四肢骨骨折程度(X2)、年龄(X3)、性别(X4)等因素进行多重线性回归分析。【结果】年龄是骨折程度的分级与定量的影响因素。颅骨和四肢骨的骨折程度与坠落高度均具有正相关性(分别为 r1 = 0.698 和 r2 = 0.780)。坠落高度的线性回归方程:^Y(m)= 6.660+2.843 X1+2.664 X2-0.099 X3 ,R2 = 0.871,误差为±4.577 m。【结论】研究提示颅骨和四肢骨的骨折程度是推测坠落高度的重要指标。经案例验证与高度阈值检验,回归方程具有较好的实际应用价值。
【Objective】To explore the correlation between the falling height and the fracture degree of skull and extremity bones.【Methods】A total of 66 cases of high falls with no-obstacles and hard contact surface that occurred in Yuexiu District of Guangzhou from June 2014 to May 2018 were collected,in which only fractures of skull and(or)extrem⁃ ity bones were observed. Of these cases,1 to 3 points were assigned to linear fractures,comminuted fractures,and open fractures respectively in reference to“Human Injury Degree Appraisal Standard”,and each site of fractures could receive a unique maximal abbreviated injury scale(MAIS)value from Abbreviated Injury Scale(AIS)2005. The sum of unique MAIS to different fracture sites indicated the total severity of those fractures(FT). Multiple linear regression analysis was performed on the falling height(Y)and FT of skull and extremity bones,age and gender.【Results】Age was an influen⁃ tial factor in the classification and quantification of fracture degree. There was a strong positive correlation between skull FT or extremity bones FT(r1 = 0.698 or r2 = 0.780)and Y,^Y(m)= 6.660 + 2.843 × skull FT + 2.664 × extremity bones FT-0.099 × Age,R2 = 0.871,SE = ±4.577 m.【Conclusion】Our results suggest that the total severity of skull fracturesand extremity bones fractures are two important indicators for the prediction of falling height. The mathematical model for prediction of falling height may be practical and applicable in related studies for the reason that it is confirmed in the earlier literatures.
0
浏览量
399
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621
