Nishiyama T, Hanaoka K
Department of Anesthesiology, The University of Tokyo, Faculty of Medicine, Japan.
Can J Anaesth. 2000 Nov;47(11):1099-102. doi: 10.1007/BF03027962.
Traumatic asphyxia in a child is rare and the pathophysiology is different from that occurring in an adult. We report a case of traumatic asphyxia in a child who recovered without specific treatment, even though chest and abdominal compression was severe.
A three-year-old boy (14.2 kg) was run over by the rear wheel of a Jeep. He was under the tire for about three minutes and then was transferred to our hospital. When he arrived, he was lethargic with Glasgow Coma Scale of E3V4M6 (coma score of 13). He was cyanotic in his face and had a tire mark from the left shoulder to the right abdomen, petechiae on the head, face, conjunctiva and chest, oral bleeding, and facial edema. Serum concentrations of liver enzymes were increased and microhematuria was detected. However, no injuries were seen in the brain, eye, chest, or abdomen. Cyanosis disappeared in a few hours. Facial and thoracic petechiae disappeared in three days and that of the conjunctiva in five days. He was discharged from hospital on the 13th day without any disturbances.
We present a three-year-old boy with traumatic asphyxia. He had no complications although he received severe thoraco-abdominal compression by a Jeep.
儿童创伤性窒息较为罕见，其病理生理学与成人不同。我们报告一例儿童创伤性窒息病例，该患儿虽遭受严重的胸部和腹部挤压，但未经特殊治疗即康复。
一名3岁男孩（体重14.2千克）被一辆吉普车后轮碾压。他被压在轮胎下约3分钟，随后被送往我院。入院时，他嗜睡，格拉斯哥昏迷评分为E3V4M6（昏迷评分13分）。他面色青紫，从左肩到右腹有轮胎压痕，头部、面部、结膜和胸部有瘀点，口腔出血，面部水肿。血清肝酶浓度升高，检测到微量血尿。然而，脑部、眼部、胸部或腹部未见损伤。数小时后青紫消失。面部和胸部瘀点3天内消失，结膜瘀点5天内消失。第13天他出院，无任何不适。
我们报告了一名患有创伤性窒息的3岁男孩。尽管他受到吉普车严重的胸腹挤压，但未出现并发症。
