Lee M C, Wong S S, Chu J J, Chang J P, Lin P J, Shieh M J, Chang C H
Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Ann Thorac Surg. 1991 Jan;51(1):86-8. doi: 10.1016/0003-4975(91)90456-z.
During a 5-year period, we treated 14 cases of traumatic asphyxia. There were 12 male and 2 female patients ranging in age from 2 to 32 years. Most suffered crushing injuries at work or were run over by motor vehicles. Mild to severe cervicofacial cyanosis and petechiae developed in all patients. A fear response was reported by 12 of the patients. Subconjunctival hemorrhage was also found in 12 patients. Nine patients had tachypnea and 7 complained of dyspnea. Most of the patients suffered some associated injuries including 8 head injuries, 7 pulmonary contusions, and 6 cases of blunt abdominal trauma. Less-associated injuries were rib fractures, brachial and radial nerve injuries, hemothorax, and pneumothorax. The hospital stay ranged from 4 to 28 days (mean, 14 days) and follow-up from 10 to 60 months (mean, 32 months). Treatment for traumatic asphyxia included measurement of arterial blood gases, oxygen supplementation, and intubation with mechanical ventilation. The patients' recovery conditions were relative to the severity of injury and the associated injuries.
在5年期间，我们治疗了14例创伤性窒息患者。患者中有12名男性和2名女性，年龄在2岁至32岁之间。大多数患者在工作中遭受挤压伤或被机动车碾压。所有患者均出现轻度至重度颈面部发绀和瘀点。12名患者报告有恐惧反应。12名患者还发现有结膜下出血。9名患者呼吸急促，7名患者主诉呼吸困难。大多数患者伴有一些其他损伤，包括8例头部损伤、7例肺挫伤和6例钝性腹部创伤。较少见的相关损伤有肋骨骨折、臂丛和桡神经损伤、血胸和气胸。住院时间为4至28天（平均14天），随访时间为10至60个月（平均32个月）。创伤性窒息的治疗包括测定动脉血气、吸氧以及气管插管并进行机械通气。患者的恢复情况与损伤的严重程度及相关损伤有关。
