Dergiler / Çocuk Acil ve Yoğun Bakım Dergisi / 2020 / Cilt: 7 - Sayı: 2

Four Traumatic Asphyxial Cases with an “Masque Ecchymotique” in Pediatric Emergency Department

Çocuk Acil Serviste “Ekimoz Maske” olan Dört Travmatik Asfiksi Olgusu

Sayfa
92–96
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Herein, we report four cases of traumatic asphyxia that can be recognised by the physicians working in the paediatric emergency department if they are aware of the diagnosis.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Traumatic asphyxia is a rare and serious clinical syndrome, which is identified by subconjunctival haemorrhage, facial oedema, craniocervical cyanosis and petechiae on the upper chest and the face regions.
📊
Temel Bulgular & Veri:It occurs when the chest and/or upper abdomen regions are subjected to blunt trauma due to sudden compressions.
💡
Sonuç & Katkı:Herein, we report four cases of traumatic asphyxia that can be recognised by the physicians working in the paediatric emergency department if they are aware of the diagnosis.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Traumatic asphyxia is a rare and serious clinical syndrome, which is identified by subconjunctival haemorrhage, facial oedema, craniocervical cyanosis and petechiae on the upper chest and the face regions. It occurs when the chest and/or upper abdomen regions are subjected to blunt trauma due to sudden compressions. This syndrome may develop if there is an occurrence of Valsalva manoeuvre during thoracic compression. Although patients appear to be very clinically ill, they can still have a very good prognosis with effective and timely treatment. However, long-term thoracic compressions may cause cerebral anoxia and neurological sequelae. Its treatment is usually conservative, and the course depends on the accompanying injuries. Herein, we report four cases of traumatic asphyxia that can be recognised by the physicians working in the paediatric emergency department if they are aware of the diagnosis.

Abstract

Travmatik asfiksi nadir, fakat ciddi bir klinik sendromdur. Bu sendrom, subkonjonktival kanama, fasiyal ödem, kraniyoservikal siyanoz, üst göğüs ve yüzdeki peteşiler ile karakterizedir. Göğüs ve/veya üst karın bölgesine künt travma sırasında meydana gelen ani bası sonrası ortaya çıkar. Torasik kompresyon sırasında valsalva manevrası meydana gelirse, bu sendrom gelişebilir. Hastalar klinik olarak çok kötü görünmesine rağmen, etkili ve zamanında tedavi ile oldukça iyi bir sonlanıma sahiptir. Ancak, uzun süreli torasik kompresyon, serebral anoksi ve nörolojik sekellere neden olabilir. Tedavi genellikle konservatiftir ve hastalığın seyri eşlik eden yaralanmalara bağlıdır. Burada çocuk acil serviste çalışan hekimlerin tanıyı bildikleri takdirde tanıyabilecekleri dört travmatik asfiksi olgusu sunulmuştur.

🔖

Bu Makaleye Atıf Yap

GULERYUZ, O. D., AKAR, T., ATMACA, Y. M. (2020). Four Traumatic Asphyxial Cases with an “Masque Ecchymotique” in Pediatric Emergency Department. Çocuk Acil ve Yoğun Bakım Dergisi, Cilt: 7 - Sayı: 2, 92–96. https://ajindex.com/articles/149561

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (15)

  1. Eken C, Yigit O. Traumatic asphyxia: a rare syndrome in trauma patient. Int J Emerg Med. 2009;2:255-6
  2. Karamustafaoglu YA, Yavasman I, Tiryaki S, Yoruk Y. Traumatic asphyxia. Int J Emerg Med. 2010;3:379-80
  3. Nishiyama T, Hanaoka K. A traumatik asphyxia in child. Can J Anaesth. 2000;47:1009-102
  4. Perrot LJ. Masque ecchymotique. Specific or nonspecific indicator for abuse. Am J Forensic Med Pathol. 1989;10:95-7
  5. Lowe L, Rapini RP, Johnson TM. Traumatic Asphxia. J Are Acad Dermatol. 1990; 23:972-4
  6. Hurtado TR, Della-Giustina DA. Traumatic asphyxia in a 6-year-old boy. Pediatr Emerg Care. 2003;19:167-8
  7. Dunne JR, Shaked G, Golocovsky M. Traumatic asphyxia: an indicator of potentially severe trauma. Injury. 1996;27:746-9
  8. Montes-Tapia F, Barreto-Arroyo I, Cura-Esquivel I, Rodríguez-Taméz A, de la O-Cavazos M. Traumatic asphyxia. Pediatr Emerg Care. 2014;30:114-6
  9. Campbell-Hewson G, Egleston CV, Cope AR. Traumatic Asphyxia in children. J Accid Emerg Med.1997;14:47-9
  10. Esme H, Solak O, Yurumez Y, Ermis S, Yaman M, Fidan F. Perthes syndrome associated with bilateral optic disc edema. Can J Ophthalmol. 2006;41:780-2
  11. Gorenstein L, Blair GK, Shandling B. The prognosis of traumatic asphyxia in childhood. J Pediatr Surg. 1986;21:753-6
  12. Landercasper J Cogbill TH. Long-term followup after traumatic asphyxia. J Trauma 1985;25:838-41
  13. Thompson A Jr, Illescas FF, Chiu RC-J. Why is the lower torso protected in traumatic asphyxia? A new hypothesis. Ann Thorac Surg. 1989;47:247-9
  14. Sarihan H, Abes M, Akyazici R, Cay A, Imamoglu M, et al. Traumatic Asphyxia in children. J Cardiovasc Surg (Torino). 1997;38:93-5
  15. Yazici B, Gönen T. Posttraumatic Subperiostal Hematomas of the Orbit in Children. Ophthal Plast Reconstr Surg. 2011;27:33-7.