期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2015
卷号：22
期号：2
页码：271-274
DOI：10.5604/12321966.1152079
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction. Workers in the agriculture sector are among the groups at the highest risk of fatal occupational injuries.The aim of study is to show the most common causes of farm-related deaths in Poland, with the circumstances, injuriessustained and mechanisms of death.Materials and methods. There were 109 (90.8%) males aged 19–81 and 11 females aged 19–73. 18.3% were over 60 yearsof age. There were 6 children (boys) aged between 2–6. A retrospective review was undertaken of 16,140 medico-legalautopsy reports by the Department of Forensic Medicine in Wroclaw between 1991–2011, which included 120 fatal farmrelatedincidents. The study protocol included gender, age, date and cause of death, all injuries found, circumstances andmechanism of death, place of death and blood alcohol concentration.Results. The most common (33/120; 27.5%) causes of death, both in men and women, were traffic accidents, the secondbeing hit, crushed or buried by materials and falling objects. The most common injury was multi-organ damage (27/120;22.5%), less common were cranio-cerebral injury (17/120; 14.2%) and thoracic blunt trauma (11/120; 9.2%). In multi-organand thoracic traumas the mechanism of death was almost always exsanguinations. 85.3% of victims died at the place found.37.2% of victims were drunk.Conclusion. In Poland, fatal injuries occurring in agriculture are mostly related to the misuse of transport and machinery.The main efforts to prevent accidents are engineering improvements, use of personal protective equipment, alcoholintake prevention and appropriate education of the workforce. Special prevention programmes should take gender andage differences into account
关键词：agriculture; autopsy; trauma; child; transport
