Purdy R H, Cogbill T H, Landercasper J, Ryan D K
Department of Surgery, Gundersen/Lutheran Medical Center, La Crosse, Wisconsin 54601.
J Emerg Med. 1988 Sep-Oct;6(5):373-6. doi: 10.1016/0736-4679(88)90008-x.
Traumatic asphyxia is an uncommon syndrome of craniocervical cyanosis, facial petechiae, and subconjunctival hemorrhages following severe crush injury to the thorax. Ocular manifestations of the syndrome have rarely been reported. A 42-year-old male sustained temporary blindness in association with traumatic asphyxia. Completely normal vision returned within 24 hours of injury. The pathogenesis of this unique finding probably involves transient retinal vein hypertension and reflex vasospasm in the retina.
创伤性窒息是一种罕见的综合征,表现为颅颈青紫、面部瘀点和结膜下出血,继发于胸部严重挤压伤之后。该综合征的眼部表现鲜有报道。一名42岁男性在创伤性窒息后出现短暂失明。受伤后24小时内视力完全恢复正常。这一独特发现的发病机制可能涉及视网膜静脉短暂高压和视网膜反射性血管痉挛。