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Tolerance to Steering Wheel‐Induced Lower Abdominal Injury

 

作者: MARY MILLER,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1991)
卷期: Volume 31, issue 10  

页码: 1332-1339

 

ISSN:0022-5282

 

年代: 1991

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Anesthetized swine were tested for biomechanical and injury responses to lower abdominal steering wheel loading. The lower abdomens of 25 subjects were impacted with a segmented steering wheel. Tests included a wide spectrum of velocities, from 1.7 to 12.4 m/s, and forced abdominal compressions of 7.0%-54.5% of the vertical thickness of the lower abdomen. Lower abdominal injuries included contusions and lacerations of varying severity and frequency in the mesentery, the small and large bowel, the spleen, and the cecum. Logistic regression correlations were performed to assess the probability of severe and greater injury with biomechanical indices such as peak velocity of deformation (Vmax), peak compression (Cmax), peak total force (Fmax), the maximum Viscous criterion (VCmax), and the product of maximum total force and maximum compression (FmaxCmax). Although Cmax, Fmax, and, to a lesser extent, FmaxCmax correlated reasonably well with the probability of severe and greater injury, the maximum Viscous criterion (VCmax) was the best correlate, establishing VCmax as the most effective predictor of an AIS ≥ 4 injury risk for steering wheel loading to the lower abdomen.

 

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