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[创伤性窒息或佩特兹综合征。六例病例报告]

[Traumatic asphyxia or Perthe's syndrome. Six cas reports].

作者信息

Barakat M, Belkhadir Z H, Belkrezia R, Faroudy M, Ababou A, Lazreq C, Sbihi A

机构信息

Service de réanimation des urgences chirurgicales, hôpital Ibn-Sina, 10000 Rabat, Maroc.

出版信息

Ann Fr Anesth Reanim. 2004 Feb;23(1):59-62. doi: 10.1016/j.annfar.2003.10.011.

Abstract

Perthe's syndrome or traumatic asphyxia is a clinical syndrome associating cervicofacial cyanosis, petechia and subconjonctival hemorrhage to neurological symptoms. This syndrome appears after severe and transient compressive blunt chest injury. A Valsalva maneuver is necessary before thoracic compression for the development of this syndrome. The treatment includes rapid chest decompression and cardiopulmonary resuscitation. The prognosis is good but a prolonged thoracic compression could lead to cerebral anoxia and neurological sequelae. We report six cases of Perthe's syndrome most of them resulting from thoracic compression after road traffic accidents. All of them made a good prognosis.

摘要

佩特综合征或创伤性窒息是一种临床综合征,伴有颈面部发绀、瘀点和结膜下出血以及神经症状。该综合征出现在严重且短暂的钝性胸部挤压伤之后。为了发生这种综合征,在胸部挤压之前进行瓦尔萨尔瓦动作是必要的。治疗包括快速胸部减压和心肺复苏。预后良好,但长时间的胸部挤压可能导致脑缺氧和神经后遗症。我们报告了6例佩特综合征病例,其中大多数是道路交通事故后胸部挤压所致。所有病例预后良好。

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