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报告儿童创伤性窒息21例,均有典型的上胸部、面、颈部皮肤和眼球结膜瘀斑和瘀点。16例有暂时性意识障碍,其中6例有昏迷,8例有谵妄和烦躁不安,2例有四肢痉挛性抽搐。21例有一过性呼吸困难和胸闷。3例有少量咳血。5例有合并伤。轻型病例结抗生素预防感染并严密观察。有昏迷和合并损伤为重型病例,给吸氧、脱水、激素等治疗同时给予特别护理,严密观察。全部病例治愈。我们的经验,只要早期诊断和适当治疗,儿童创伤性窒息的预后是好的。
Report of 21 cases of traumatic asphyxia in children, have a typical upper chest, face, neck skin and eye conjunctiva ecchymosis and petechiae. Sixteen patients had transient disturbance of consciousness, of which six were unconscious, eight had delirium and irritability, and two had spasms of the limbs. 21 cases of transient dyspnea and chest tightness. 3 cases had a small amount of hemoptysis. Five patients had combined injuries. Antibiotics in light-weight cases prevent infection and observe closely. A coma and combined injury for heavy cases, to oxygen, dehydration, hormones and other treatment given special care, close observation. All cases cured. Our experience, as long as the early diagnosis and appropriate treatment, the prognosis of traumatic asphyxia in children is good.