Montes-Tapia Fernando, Barreto-Arroyo Itzel, Cura-Esquivel Idalia, Rodríguez-Taméz Antonio, de la O-Cavazos Manuel
From the *Pediatric Emergency Service and †Department of Pediatrics, Hospital Universitario "Dr José E. González," Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
Pediatr Emerg Care. 2014 Feb;30(2):114-6. doi: 10.1097/PEC.0000000000000067.
Traumatic asphyxia is a rare condition in children that usually occurs after severe compression to the chest or abdomen. We report 3 cases in patients 18, 20, and 36 months of age who presented signs and symptoms of traumatic asphyxia after car accidents. Two clinical features were consistent in all 3 patients: multiple petechiae on the face and bulbar conjunctival hemorrhage; 2 patients had facial cyanosis, and 1 had facial edema.In children, the number of clinical manifestations that should be evident to diagnose traumatic asphyxia has not been ascertained. However, in any history of trauma with compression of the chest or abdomen and signs of increased intravenous craniocervical pressure, traumatic asphyxia should be suspected.
创伤性窒息在儿童中是一种罕见病症，通常发生于胸部或腹部受到严重挤压之后。我们报告了3例分别为18个月、20个月和36个月大的患儿，他们在车祸后出现了创伤性窒息的体征和症状。所有3例患者均有两个一致的临床特征：面部多处瘀点和球结膜出血；2例患者有面部发绀，1例有面部水肿。在儿童中，尚未确定诊断创伤性窒息所需明确的临床表现数量。然而，对于任何有胸部或腹部受压创伤史且伴有静脉性颅颈压力升高体征的情况，均应怀疑创伤性窒息。
