Hirade Tomohiro, Murata Susumu, Saito Tsukasa, Ogawa Kohei, Kodani Nobuhiro, Sakakibara Manabu, Hirade Ritsuko, Kushizaki Hiroyuki, Matsuda Takashi, Minami Kotaro, Nikai Tetsuro, Nishina Masayoshi
Department of Emergency and Critical Care Medicine, Shimane University, Shimane, Japan.
Kyobu Geka. 2015 Mar;68(3):171-5.
Traumatic asphyxia is a crush injury of the chest characterized by facial edema, cyanosis, conjunctival hemorrhage, and petechiae on the face and chest. The prognosis depends on the duration of chest compression and early cardiopulmonary resuscitation after cardiopulmonary arrest. Here we report a case of full recovery from cardiopulmonary arrest caused by traumatic asphyxia. The chest of a 56-year-old man was compressed by a machine while working. Immediately, his colleague started cardiopulmonary resuscitation, which was successful. When he was admitted to our hospital, his consciousness level was E1V2M2(Glasgow coma scale). Our treatment included therapeutic hypothermia, the duration of which was 24 hours at 34 °C. Rewarming his body to 36 °C took place over 48 hours. Thereafter, he recovered completely and was discharged on the 12th hospital day without neurologic sequela. Therapeutic hypothermia was possibly effective in this case.
创伤性窒息是一种胸部挤压伤，其特征为面部水肿、发绀、结膜出血以及面部和胸部出现瘀点。预后取决于胸部受压的持续时间以及心跳骤停后早期心肺复苏的情况。在此，我们报告一例因创伤性窒息导致心跳骤停后完全康复的病例。一名56岁男性在工作时胸部被机器挤压。其同事立即开始进行心肺复苏，获得成功。他入院时，意识水平为E1V2M2（格拉斯哥昏迷量表）。我们的治疗措施包括治疗性低温，在34℃下持续24小时。之后在48小时内将体温恢复至36℃。此后，他完全康复，并于住院第12天出院，无神经后遗症。治疗性低温在该病例中可能起到了有效的作用。
