Sklar D P, Baack B, McFeeley P, Osler T, Marder E, Demarest G
Emergency Department, University of New Mexico Hospital, Albuquerque.
Am J Emerg Med. 1988 May;6(3):219-23. doi: 10.1016/0735-6757(88)90003-4.
Compression of the chest causing facial petechiae, violaceous facial hue, subconjunctival hemorrhages, and frequent mental status abnormalities has been termed traumatic asphyxia. We identified 35 such cases occurring in the State of New Mexico from 1980 to 1985 from records of the Office of the Medical Investigator (n = 30) and from cases presenting to the University of New Mexico Trauma Center (n = 5). Among those found at highest risk for traumatic asphyxia were people ejected from motor vehicles, men working under cars that were inadequately supported and fell onto the victims, children under the age of 5 years who were crushed under household furniture, and people involved in construction activities. Traumatic asphyxia following a moving motor vehicle accident was significantly associated with alcohol ingestion (p less than 0.001). Preventive and therapeutic strategies should focus on the groups and events identified.
胸部受到挤压导致面部瘀点、面部青紫、结膜下出血以及频繁出现精神状态异常，这种情况被称为创伤性窒息。我们从新墨西哥州医学调查员办公室的记录（n = 30）以及新墨西哥大学创伤中心收治的病例（n = 5）中，识别出了1980年至1985年期间发生在该州的35例此类病例。在那些被发现创伤性窒息风险最高的人群中，有从机动车中被抛出的人、在支撑不足的汽车下工作且汽车倒下压在其身上的男性、5岁以下被家用家具压伤的儿童以及参与建筑活动的人员。机动车行驶过程中发生事故导致的创伤性窒息与饮酒显著相关（p < 0.001）。预防和治疗策略应聚焦于已识别出的人群和事件。
