Traumatic asphyxia.
Traumatic asphyxia is a rare condition in children that usually occurs after severe compression to the chest or abdomen. We report 3 cases in patients 18, 20, and 36 months of age who presented signs and symptoms of traumatic asphyxia after car accidents. Two clinical features were consistent in all 3 patients: multiple petechiae on the face and bulbar conjunctival hemorrhage; 2 patients had facial cyanosis, and 1 had facial edema.In children, the number of clinical manifestations that should be evident to diagnose traumatic asphyxia has not been ascertained. However, in any history of trauma with compression of the chest or abdomen and signs of increased intravenous craniocervical pressure, traumatic asphyxia should be suspected.
From the *Pediatric Emergency Service and †Department of Pediatrics, Hospital Universitario "Dr José E. González," Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
Fernando
F
Montes-Tapia
Itzel
I
Barreto-Arroyo
Idalia
I
Cura-Esquivel
Antonio
A
Rodríguez-Taméz
Manuel
M
de la O-Cavazos
D001237:Asphyxia / Q000175:diagnosis* / Q000209:etiology; D002675:Child, Preschool; D003229:Conjunctival Diseases / Q000209:etiology; D005130:Eye Hemorrhage / Q000209:etiology; D005145:Face / Q000473:pathology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011693:Purpura / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications*