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Traumatic asphyxia in children

H Sarihan1, M Abes, R Akyazici

  • 1Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine Trabzon, Turkey.

The Journal of Cardiovascular Surgery
|February 1, 1997
PubMed
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Traumatic asphyxia in children, often caused by motor vehicle accidents, presents with disorientation and associated injuries, but typically has a good outcome. This study reviewed eight pediatric cases, finding no fatalities.

Area of Science:

  • Pediatric Traumatology
  • Emergency Medicine
  • Clinical Pediatrics

Background:

  • Traumatic asphyxia is a rare but severe condition resulting from blunt chest trauma.
  • Understanding its presentation and outcomes in children is crucial for timely diagnosis and management.

Purpose of the Study:

  • To retrospectively evaluate the clinical features, injury mechanisms, and outcomes of traumatic asphyxia in a pediatric cohort.
  • To identify common associated injuries and complications in children with traumatic asphyxia.

Main Methods:

  • Retrospective case series analysis of eight pediatric patients diagnosed with traumatic asphyxia.
  • Review of medical records to extract data on demographics, injury mechanisms, clinical presentation, associated injuries, and outcomes.

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Main Results:

  • The study included eight children (5 boys, 3 girls) with traumatic asphyxia.
  • Motor vehicle accidents were the primary cause (6/8 cases), followed by falls and lift compression.
  • Clinical manifestations included disorientation and altered consciousness in five patients.
  • All patients had associated injuries, predominantly involving the thorax and head.
  • One patient experienced cerebral seizures secondary to head injury.
  • No mortality was recorded in the cohort.

Conclusions:

  • Traumatic asphyxia in children, while serious, appears to have a favorable prognosis with no recorded mortality in this series.
  • Prompt recognition of clinical signs and comprehensive management of associated injuries are essential for optimal patient outcomes.