本文报告一起约200名小学生密集,蜂踊下楼时,重叠挤压造成的10名儿童头、颈、胸及上肢皮下或粘膜下广泛出血或瘀血。其年龄最小6岁,最大9岁, 平均7.3岁。全组均为单纯性创伤性窒息(其中呼吸心跳骤停1例,现场抢救复苏),经治疗全部痊愈。本文着重讨论小儿胸部受暴力作用时容易造成创伤性窒息的因素。 This paper reports that with a total of about 200 primary schoolchildren crowded downstairs, 10 children suffered from extensive bleeding or bruising on the head, neck, chest and upper extremity subcutaneously or submucosa caused by over-extrusion. The youngest 6 years old, up to 9 years old, with an average of 7.3 years old. All patients were simple traumatic asphyxia (including respiratory arrest in 1 case, rescue resuscitation scene), after treatment, all recovered. This article focuses on the factors that can easily cause traumatic asphyxia in pediatric chest affected by violence.