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词条 Injury
释义

  1. Classification

      By cause    By modality    By location    By activity    Injury severity score  

  2. See also

  3. References

  4. External links

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Injury, also known as physical trauma, is damage to the body caused by external force.[1] This may be caused by accidents, falls, hits, weapons, and other causes.[1] Major trauma is injury that has the potential to cause prolonged disability or death.

In 2013, 4.8 million people world-wide died from injuries, up from 4.3 million in 1990.[3] More than 30% of these deaths were transport-related injuries.[3] In 2013, 367,000 children under the age of five died from injuries, down from 766,000 in 1990.[2] Injuries are the cause of 9% of all deaths, and are the sixth-leading cause of death in the world.[3][4]

Classification

The World Health Organization (WHO) developed the International Classification of External Causes of Injury (ICECI). Under this system, injuries are classified by:

  • mechanism of injury;
  • objects/substances producing injury;
  • place of occurrence;
  • activity when injured;
  • the role of human intent;

and additional modules. These codes allow the identification of distributions of injuries in specific populations and case identification for more detailed research on causes and preventive efforts.[5][6]

The United States Bureau of Labor Statistics developed the Occupational Injury and Illness Classification System (OIICS). Under this system injuries are classified by

  • nature,
  • part of body affected,
  • source and secondary source, and
  • event or exposure.

The OIICS was first published in 1992 and has been updated several times since.[7]

The Orchard Sports Injury Classification System (OSICS) is used to classify injuries to enable research into specific sports injuries.[8]

By cause

  • Intentional injury
    • Suicide and self-harm
    • Violence and war
  • Accidents
    • Stingray injury
    • Lightning injuries

By modality

  • Traumatic injury, a body wound or shock produced by sudden physical collision or movement[9]
    • Avulsion injury
    • Blast injury
    • Bone fracture
    • Internal bleeding
    • Crush injury
    • Needlestick injury
    • Catastrophic injury
  • Repetitive strain injury or other strain injury
  • Other injuries from external physical causes, such as radiation poisoning, burn, or frostbite
    • Radiation-induced lung injury
    • Microwave burn
  • Injury from toxin or as adverse effect of a pharmaceutical drug
    • Toxic injury
  • Injury from internal causes such as reperfusion injury

By location

  • Wound, an injury in which skin is torn, cut or punctured (an open wound), or where blunt force trauma causes a contusion (a closed wound). In pathology, it specifically refers to a sharp injury which damages the dermis of the skin.
  • Brain injury
    • Acquired brain injury
    • Coup contrecoup injury
    • Diffuse axonal injury
    • Frontal lobe injury
  • Nerve injury
    • Spinal cord injury
    • Brachial plexus injury
    • Peripheral nerve injury
    • Sciatic nerve injury
    • Injury of axillary nerve
  • Soft tissue injury
    • Penile strangulation
  • Cell damage, including direct DNA damage
  • Lisfranc injury
  • Tracheobronchial injury
  • Eye injury
    • Chemical eye injury
    • Eye injuries during general anaesthesia
  • Acute kidney injury
  • Knee injury
    • Anterior cruciate ligament injury
    • Medial knee injuries
  • Back injury
  • Hand injury
  • Liver injury
  • Head injury
    • Penetrating head injury
    • Closed head injury
  • Musculoskeletal injury
    • Articular cartilage injuries
  • Acute lung injury
  • Pancreatic injury
  • Thoracic aorta injury
  • Biliary injury
  • Chest injury
  • Asphyxia

By activity

  • Reverse bite injury
  • Lead climbing injuries
  • Occupational injury
  • Ventilator-associated lung injury
  • Sea urchin injury
  • Transfusion-related acute lung injury
  • Illness and injuries during spaceflight

Injury severity score

The injury severity score (ISS) is a medical score to assess trauma severity.[10][11] It correlates with mortality, morbidity, and hospitalization time after trauma. It is used to define the term major trauma (polytrauma), recognized when the ISS is greater than 15.[11] The AIS Committee of the Association for the Advancement of Automotive Medicine designed and updates the scale.

See also

  • List of causes of death by rate
  • first aid

References

1. ^{{cite web|url=https://www.nlm.nih.gov/medlineplus/woundsandinjuries.html |title=Wounds and Injuries: MedlinePlus |publisher=Nlm.nih.gov |accessdate=2015-07-20}}
2. ^{{cite journal|last1=GBD 2013 Mortality and Causes of Death|first1=Collaborators|title=Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013|journal=Lancet|date=17 December 2014|pmid=25530442|doi=10.1016/S0140-6736(14)61682-2|pmc=4340604|volume=385|issue=9963|pages=117–71}}
3. ^{{cite web|title=The top 10 causes of death|url=http://www.who.int/mediacentre/factsheets/fs310/en/index2.html|accessdate=24 May 2015}}
4. ^{{cite journal|vauthors=Stein DM, Santucci RA |title=An update on urotrauma|journal=Current Opinion in Urology|volume=25|issue=4|pages=323–30|date=July 2015|pmid=26049876|doi=10.1097/MOU.0000000000000184}}
5. ^{{cite web |url=http://www.who.int/classifications/icd/adaptations/iceci/en/ |title=International Classification of External Causes of Injury (ICECI) |publisher=World Health Organization |accessdate=2014-03-24}}
6. ^Robertson, LS (2015) Injury Epidemiology: Fourth Edition. Free online at www.nanlee.net
7. ^{{cite web |url=http://wwwn.cdc.gov/wisards/oiics/ |publisher=Centers for Disease Control and Prevention |title=Occupational Injury and Illness Classification System |accessdate=2014-03-24}}
8. ^{{cite journal|last1=Rae|first1=K|last2=Orchard|first2=J|title=The Orchard Sports Injury Classification System (OSICS) version 10|journal=Clin J Sport Med.|date=May 2007|volume=17|issue=3|pages=201–04|pmid=17513912|doi=10.1097/jsm.0b013e318059b536|url=http://raco.cat/index.php/Apunts/article/view/119817}}
9. ^{{cite encyclopedia|title=Trauma|encyclopedia=Dictionary.com|year=2010|publisher=Dictionary.com, LLC|url=http://dictionary.reference.com/browse/trauma|accessdate=2010-10-31}}
10. ^{{cite journal |vauthors = Baker SP, O'Neill B, Haddon W, Long WB | title = The Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care | journal = The Journal of Trauma | volume = 14 | pages = 187–96 | year = 1974 | pmid = 4814394 | issue = 3 | doi=10.1097/00005373-197403000-00001}}
11. ^{{cite journal | last = Copes | first = W.S. |author2=H.R. Champion |author3=W.J. Sacco |author4=M.M. Lawnick |author5=S.L. Keast |author6=L.W. Bain | title = The Injury Severity Score revisited | journal = The Journal of Trauma | volume = 28 | issue =1 | pages = 69–77 | year = 1988 | doi = 10.1097/00005373-198801000-00010 | pmid = 3123707}}

External links

{{Medical resources
| DiseasesDB =
| ICD10 = {{ICD10|S00}}{ICD10|T88}}
| ICD9 = {{ICD9|800}{{ICD9|999}}
| ICDO =
| OMIM =
| MedlinePlus =
| MeSH =D014947
| GeneReviewsNBK =
| GeneReviewsName =
}}{{commons|Wounds}}{{wikiquote}}
  • International Trauma Conferences (registered trauma charity providing trauma education for medical professionals worldwide)
  • Trauma.org (trauma resources for medical professionals)
  • [https://web.archive.org/web/20080524041147/http://www.emrap.tv/ Emergency Medicine Research and Perspectives] (emergency medicine procedure videos)
  • American Trauma Society
  • Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
{{Trauma |state=collapsed}}{{General injuries}}{{Emergency medicine}}{{Authority control}}{{Portal bar|Medicine|Trauma and orthopaedics}}{{DEFAULTSORT:Physical Trauma}}

7 : Injuries|Medical emergencies|Traumatology|Causes of death|Acute pain|Trauma types|Adverse childhood experiences

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