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创伤是现代社会的一个突出问题,并已成为人口死亡的主要原因之一。生产事故同交通事故一样危害极大,严重威胁人类的生命安全。本文就近年来阳泉地区生产事故伤487例进行统计分析,结果提示:(1)生产事故死亡高危人群呈“四多”特征:男性多(男女之比为80:1);青壮年多(74.9%);农协工、临时工多(85.0%);外地人多(61.6%)。(2)生产事故作业环境有“四高”现象;县乡村办企业发生率高(85.4%);煤炭建材部门发生率高(88.3%),冒顶爆炸等事故发生率高(86.4%);并下高空事故发生率高(72.5%)。(3)时间因素以7-9月份、每月下旬,每天8-10时和16-18时是高发。(4)CO中毒、缺氧窒息、挤压是生产事故致伤人体的主要方式(82.1%)。(5)机械性损伤多,损伤复杂。(6)颅脑损伤、CO中毒、创伤性窒息、失血性休克、多系统器官功能衰竭构成生产事故的五大死因。同时作者建议:加强生产事故伤的流行病学研究;加强生产安全管理;加强创伤初期急救系统建立。
Trauma is a prominent problem in modern society and has become one of the major causes of death of the population. The production accident is as great as the traffic accident, which seriously threatens the human life safety. In this paper, a statistical analysis was made on 487 cases of accidental injuries in production in Yangquan in recent years. The results showed that: (1) The number of people at high risk of death from production was “four more”: male was more (male to female ratio was 80: 1); 9%); agricultural cooperatives, temporary workers (85.0%); outsiders (61.6%). (2) The operating environment of production accidents has the phenomenon of “four highs”; the incidence of enterprises operating in counties and villages is high (85.4%); the incidence of coal building materials sector is high (88.3%); the incidence of incidents such as roof explosion is high (86 .4%); and the high incidence of accidents under high altitude (72.5%). (3) The time factor is high in July-September, the end of each month, the day of 8-10 and the day of 16-18. (4) CO poisoning, hypoxia and suffocation, squeezing is the main way to produce accidental injury to the human body (82.1%). (5) Mechanical damage and damage more complex. (6) Brain injury, CO poisoning, traumatic asphyxia, hemorrhagic shock, multiple system organ failure constitute the top five causes of death. At the same time, the author suggests: to strengthen the epidemiological study of production accident injuries; to strengthen the production safety management; to strengthen the early trauma emergency system establishment.