WordNet

psychologically painful;"few experiences are more traumatic than losing a child";
of or relating to a physical injury or wound to the body
a condition in which insufficient or no oxygen and carbon dioxide are exchanged on a ventilatory basis; caused by choking or drowning or electric shock or poison gas

PrepTutorEJDIC

外傷性の;精神的損傷の
(血液中の酸素不足のために起こる)失神状態,窒息

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/01/01 07:37:53」(JST)

wiki en

Traumatic asphyxia, or Perte's syndrome, is a medical emergency caused by an intense compression of the thoracic cavity, causing venous back-flow.^[1]

Causes[edit]

Traumatic asphyxia occurs when a powerful compressive force is applied to the thoracic cavity. This is most often seen in motor vehicle accidents, as well as industrial and farming accidents. However, it can present anytime a significant pressure is applied to the thorax.

Signs and symptoms[edit]

Traumatic asphyxia is characterized by cyanosis in the upper extremities, neck, and head as well as petechiae in the conjunctiva. Patients can also display jugular venous distention and facial edema.^[2] Associated injuries include pulmonary contusion, myocardial contusion, hemo/pneumothorax, and broken ribs.^[3]^[4]

Pathophysiology[edit]

The sudden impact on the thorax causes an increase in intrathoracic pressure.^[3] In order for traumatic asphyxia to occur, a Valsalva maneuver is required when the traumatic force is applied.^[5] Exhalation against the closed glottis along with the traumatic event causes air that cannot escape from the thoracic cavity. Instead, the air causes increased venous back-pressure, which is transferred back to through the right atrium, to the superior vena cava and to the head and neck veins and capillaries.^[3]

Prognosis[edit]

For individuals who survive the initial crush injury, survival rates are high for traumatic asphyxia.^[3]^[6]^[5]

References[edit]

^ Moore, J. D.; Mayer, John H.; Gago, Otto (1972). "Traumatic Asphyxia". Chest 62 (5): 634–6. doi:10.1378/chest.62.5.634. PMID 5082045.
^ Aehlert, Barbara J. (2010). Paramedic Practice Today: Above and Beyond. p. 472. ISBN 978-0-323-08537-3.
^ ^a ^b ^c ^d Eken, Cenker; Yıgıt, Ozlem (2009). "Traumatic asphyxia: A rare syndrome in trauma patients". International Journal of Emergency Medicine 2 (4): 255–6. doi:10.1007/s12245-009-0115-x. PMC 2840592. PMID 20436897.
^ Lee, Ming-Chung; Wong, Sing-Sieng; Chu, Jaw-Ji; Chang, Jen-Ping; Lin, Pyng-Jing; Shieh, Ming-Jang; Chang, Chau-Hsiung (1991). "Traumatic asphyxia". The Annals of Thoracic Surgery 51 (1): 86–8. doi:10.1016/0003-4975(91)90456-Z. PMID 1985583.
^ ^a ^b Barakat, M; Belkhadir, Z.H; Belkrezia, R; Faroudy, M; Ababou, A; Lazreq, C; Sbihi, A (2004). "Syndrome d'asphyxie traumatique ou syndrome de Perthes. À propos de six cas" [Traumatic asphyxia or Perthe's syndrome. Six cas reports]. Annales Françaises d'Anesthésie et de Réanimation (in French) 23 (1): 59–62. doi:10.1016/j.annfar.2003.10.011. PMID 14980325.
^ Bledsoe, Bryan E.; Berkeley, Ross. P.; Markus, Troy (2010). "Know the Signs and Symptoms of Traumatic Asphyxia". JEMS.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 小児における胸腔内損傷の概要 overview of intrathoracic injuries in children
2. 小児および思春期における「窒息ゲーム」およびその他の首絞め行動 the choking game and other strangulation activities in children and adolescents
3. 胸部外傷を有する小児の初期評価および安定化 initial evaluation and stabilization of children with thoracic trauma
4. 小児における紫斑の評価 evaluation of purpura in children
5. 骨盤位分娩に関連する問題の概要 overview of issues related to breech presentation

English Journal

Etiologies of epilepsy and health-seeking itinerary of patients with epilepsy in a resource poor setting: Analysis of 342 Nigerian Africans.

Ogunrin OA, Adeyekun A, Adudu P.SourceNeurology Unit, Department of Medicine, University of Benin, Benin City, Nigeria. Electronic address: bunmifunmi@hotmail.com.
Seizure : the journal of the British Epilepsy Association.Seizure.2013 May 9. pii: S1059-1311(13)00111-8. doi: 10.1016/j.seizure.2013.04.012. [Epub ahead of print]
PURPOSE: The understanding of causation of epilepsy, especially in resource poor African countries where prevalence rates are very high, would aid strategies for primary prevention. This study sought to determine the causes of epilepsy in Nigerian Africans and health-itinerary of patients with epile
PMID 23664807

Trauma-related preventable deaths in Berlin 2010: need to change prehospital management strategies and trauma management education.

Kleber C, Giesecke MT, Tsokos M, Haas NP, Buschmann CT.SourceCenter for Musculoskeletal Surgery, AG Polytrauma, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. christian.kleber@charite.de
World journal of surgery.World J Surg.2013 May;37(5):1154-61. doi: 10.1007/s00268-013-1964-2.
BACKGROUND: Fatal trauma is one of the leading causes of death in Western industrialized countries. The aim of the present study was to determine the preventability of traumatic deaths, analyze the medical measures related to preventable deaths, detect management failures, and reveal specific injury
PMID 23430005

Becoming a parent to a child with birth asphyxia-From a traumatic delivery to living with the experience at home.

Heringhaus A, Blom MD, Wigert H.SourceQueen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden. alina.heringhaus@live.se
International journal of qualitative studies on health and well-being.Int J Qual Stud Health Well-being.2013 Apr 30;8:1-13. doi: 10.3402/qhw.v8i0.20539.
The aim of this study is to describe the experiences of becoming a parent to a child with birth asphyxia treated with hypothermia in the neonatal intensive care unit (NICU). In line with the medical advances, the survival of critically ill infants with increased risk of morbidity is increasing. Chil
PMID 23639330

Japanese Journal

外傷性窒息 (特集災害医療 : 来たるべき災害に対応するために)

救急医学 = The Japanese journal of acute medicine 40(3), 345-349, 2016-03
NAID 40020763349

社会復帰しえた外傷性窒息による心肺停止

胸部外科 = The Japanese journal of thoracic surgery 68(3), 171-175, 2015-03
NAID 40020368966

胸腹部圧迫モデルを用いた外傷性窒息症による呼吸不全発症メカニズムの解明

日本救急医学会雑誌 25(7), 281-287, 2014
NAID 130004706571

Related Pictures

Facial ecchymosis and periorbital oedema | Emergency Medicine Journal Traumatic asphyxia causes, signs, symptoms, diagnosis & treatment A Case of Traumatic Asphyxia due to Motorcycle Accident PPT - BLUNT and PENETRATING INJURIES of the CHEST WALL, PLEURA, and PPT - Suffocation, Asphyxia, and Fatal Pressure on the Neck PowerPoint Asphyxia From FME by Dr Yaseen Mohammad for 3rd year MBBS Students Traumatic asphyxia | Deranged Physiology

★リンクテーブル★

リンク元	「外傷性窒息」
関連記事	「traumatic」「asphyxia」

「外傷性窒息」

　　[★]

英: traumatic asphyxia
同: 外傷性顔面溢血症候群 traumatic cervicofacial static cyanosis syndrome、胸部圧迫性顔面溢血、胸部圧迫症
関: 窒息

機械によって挟まれたり，階段で将棋倒しになったり，土砂に埋まったりして胸部を強く圧迫されることで発症する。声門閉鎖の状態で胸郭に大きな外力が加わった場合，気道内圧の上昇とともに血管内圧も上昇する。大静脈・頸静脈系は逆流防止の弁がないため，胸部圧迫により上大静脈圧が上昇し，顔面や頸部を中心に紫紅色の腫脹と多数の溢血斑が出現する。同時に脳循環も障害されて意識障害をきたす。予後は低酸素血症と脳障害の程度により規定される。 (引用：http://www.jaam.jp/html/dictionary/dictionary/word/0319.htm)

http://www.jaam.jp/html/dictionary/dictionary/word/0319.htm