Landercasper J, Cogbill T H
J Trauma. 1985 Sep;25(9):838-41. doi: 10.1097/00005373-198509000-00005.
Victims of traumatic asphyxia syndrome were studied to determine: mechanism of injury, severity of injury, characteristic physical stigmata, treatment, and long-term disability. Consecutive patients who sustained severe crush injuries with traumatic asphyxia in the 5-year period ending November 1984 were reviewed. Followup was established by personal examination or questionnaire. Severity of injury and disability were assessed by Injury Severity Score and questionnaire, respectively. Six patients, ranging in age from 4 to 65 years, were hospitalized from 4 to 150 days for traumatic asphyxia. The mechanism of injury in each case was severe crush by an object weighing greater than 1,000 pounds. All patients had associated injuries, often involving the thorax, and the mean Injury Severity Score was 14.5. Severe craniocervical cyanosis with petechiae was present in all patients. Four patients had temporary neurologic impairment. Despite severity of injury, no long-term disability was detected at an average followup of 4.4 years. No long-term survivors demonstrated residual cyanosis, petechiae, swelling, or neurologic sequelae. All had returned to work or school.
对创伤性窒息综合征的受害者进行了研究，以确定：损伤机制、损伤严重程度、特征性身体体征、治疗方法以及长期残疾情况。回顾了在1984年11月结束的5年期间遭受严重挤压伤并伴有创伤性窒息的连续患者。通过个人检查或问卷调查进行随访。分别采用损伤严重程度评分和问卷调查对损伤严重程度和残疾情况进行评估。6例年龄在4岁至65岁之间的患者因创伤性窒息住院4至150天。每例患者的损伤机制均为被重量超过1000磅的物体严重挤压。所有患者均伴有其他损伤，常累及胸部，平均损伤严重程度评分为14.5。所有患者均出现严重的颅颈青紫伴瘀点。4例患者有暂时性神经功能障碍。尽管损伤严重，但在平均4.4年的随访中未发现长期残疾。长期存活者均未出现残留青紫、瘀点、肿胀或神经后遗症。所有人都已重返工作或学校。
