Gorenstein L, Blair G K, Shandling B
J Pediatr Surg. 1986 Sep;21(9):753-6. doi: 10.1016/s0022-3468(86)80358-x.
Sixteen children with traumatic asphyxia (TA) over a 10-year period are reported. Follow-up was available in 12 of 14 survivors. Mortality and morbidity are the results of associated injuries or cerebral hypoxia, which are determined by the severity, nature, and duration of the compression force. Associated injuries should be treated in their own right, disregarding the manifestations of TA. The physical findings unique to TA usually resolve spontaneously. Neurologic sequelae such as peripheral nerve injuries or spinal cord injuries may be permanent. The cutaneous lesions uniformly disappear with time. Subconjunctival hemorrhages slowly fade and disappear. Visual defects are rare and usually clear within 24 hours, but may be permanent. No cognitive impairment results in children with uncomplicated TA, and the value of treating cerebral cortical depression with steroids is uncertain.
报告了10年间16例创伤性窒息（TA）患儿的情况。14名幸存者中有12名得到了随访。死亡率和发病率是由相关损伤或脑缺氧导致的，而这又取决于压迫力的严重程度、性质和持续时间。应独立处理相关损伤，而不考虑TA的表现。TA特有的体格检查结果通常会自行消退。诸如周围神经损伤或脊髓损伤等神经后遗症可能是永久性的。皮肤病变会随时间一致消失。结膜下出血会慢慢消退并消失。视觉缺陷很少见，通常在24小时内恢复，但也可能是永久性的。单纯性TA患儿不会出现认知障碍，用类固醇治疗大脑皮质抑制的价值尚不确定。
