Koniaris L G, Kross M E, O'Malley N, Cornwell E E
Department of Surgery, Johns Hopkins Hospital, Baltimore, MD 21205, USA.
South Med J. 2000 Sep;93(9):905-8.
We report a case of traumatic asphyxia complicated by unwitnessed cardiac arrest in which the patient has made a good, functional recovery. Traumatic asphyxia is an uncommon clinical syndrome usually occurring after chest compression. Associated physical findings include subconjunctival hemorrhage and purple-blue neck and face discoloration. These facial changes can mimic those seen with massive closed head injury; however, cerebral injury after traumatic asphyxia usually occurs due to cerebral hypoxia. When such features are observed, the diagnosis of traumatic asphyxia should be considered. Prompt treatment with attention to the reestablishment of oxygenation and perfusion may result in good outcomes.
我们报告一例创伤性窒息合并无目击者心搏骤停的病例，该患者已实现良好的功能恢复。创伤性窒息是一种罕见的临床综合征，通常发生在胸部受压后。相关的体格检查发现包括结膜下出血以及颈部和面部紫蓝色变色。这些面部变化可能类似于重型闭合性颅脑损伤所见；然而，创伤性窒息后的脑损伤通常是由于脑缺氧所致。当观察到这些特征时，应考虑创伤性窒息的诊断。及时治疗并注重恢复氧合和灌注可能会带来良好的结果。
