A traumatic asphyxia in a child.
OBJECTIVE
Traumatic asphyxia in a child is rare and the pathophysiology is different from that occurring in an adult. We report a case of traumatic asphyxia in a child who recovered without specific treatment, even though chest and abdominal compression was severe.


METHODS
A three-year-old boy (14.2 kg) was run over by the rear wheel of a Jeep. He was under the tire for about three minutes and then was transferred to our hospital. When he arrived, he was lethargic with Glasgow Coma Scale of E3V4M6 (coma score of 13). He was cyanotic in his face and had a tire mark from the left shoulder to the right abdomen, petechiae on the head, face, conjunctiva and chest, oral bleeding, and facial edema. Serum concentrations of liver enzymes were increased and microhematuria was detected. However, no injuries were seen in the brain, eye, chest, or abdomen. Cyanosis disappeared in a few hours. Facial and thoracic petechiae disappeared in three days and that of the conjunctiva in five days. He was discharged from hospital on the 13th day without any disturbances.


CONCLUSIONS
We present a three-year-old boy with traumatic asphyxia. He had no complications although he received severe thoraco-abdominal compression by a Jeep.
Nishiyama
T
T
Department of Anesthesiology, The University of Tokyo, Faculty of Medicine, Japan. nishiyam@ims.u-tokyo.ac.jp
Hanaoka
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K
D001237:Asphyxia / Q000209:etiology*; D002675:Child, Preschool; D003490:Cyanosis / Q000209:etiology; D006801:Humans; D008297:Male; D014947:Wounds and Injuries / Q000150:complications*