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2011, Number 3

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Med Crit 2011; 25 (3)

Asfixia traumática: Reporte de un caso

Luviano GJA, Cataneo CAC
Full text How to cite this article

Language: Spanish
References: 5
Page: 157-159
PDF size: 289.08 Kb.


Key words:

Traumatic asphyxia.

ABSTRACT

Introduction: Traumatic asphyxia is characterized by an intense reddish purple color of skin of head and neck, bilateral conjunctival hemorrhage and varying degrees of facial edema. As a result of severe compression of the chest with reflux of blood from the right chambers of the heart right to the head and neck veins, massive pressure that is transmitted to the capillaries. Causing weakness and dilatation of capillary stasis.
Objective: A case report of a patient with traumatic asphyxia that ICU care.
Design: Report of two cases.
Place: UCI Medical Unit of High Specialty number 21 of Monterrey, Nuevo Leon.
Patient: Men 42 years of age working in construction machinery business to be laboring under a metal table is trapped between the ground and the structure of one-ton receiving direct contusion thorax and abdomen, with psychomotor agitation, facial bruising extension a posterior scalp and neck, edema bipalpebral bilateral conjunctival hyperemia, anterior chest ecchymosis in thoracic limbs, anterior abdomen. Intubated, chest tubes are placed. Mechanical ventilation is operated extubated at 18 hours and expenditures improvement.


REFERENCES

  1. Eken C. Int Emerg Med 2009;2:255-256.

  2. Richards CD. Asphyxiation: a review. Trauma 7:37-45

  3. Lee MC, Wong SS. Traumatic asphyxia. Ann Thirac Surg 1991;51(1):86-88.

  4. Moore JD, Meyer JH, Gago O. Traumatic asphyxia. Chest 1972;62:634-636.

  5. Conwell HE. Traumatic asphyxia report of 4 casos. J Bone Joint Surg Am 1927;9:106-110.




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Med Crit. 2011;25