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Journal of Trauma and Injury 2013;26(4):297-299.
Traumatic Asphyxia due to Blunt Chest Trauma with External Auditory Canal Bleeding
Je Ho Lee, Kyu Hyouck Kyoung, Jeong Won Kim, Hui Jun Yang, Eun Seog Hong
1Trauma Center, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. ulsaner@gmail.com
2Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
3Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
흉부 둔상으로 발생한 외이도 출혈이 동반된 외상성 질식 증후군
이제호, 경규혁, 김정원1, 양희준2, 홍은석
울산대학교 의과대학 울산대학교병원 외상센터, 1흉부외과, 2신경과
Received: 10 September 2013   • Revised: 21 October 2013   • Accepted: 19 December 2013
Abstract
Traumatic asphyxia, also called 'Perthes syndrome', is characterized by subconjunctival hemorrhage, cervicofacialpetechiae and cyanosis resulting from venous hypertension caused by an abrupt, severe, compressive force to the thoracoabdominal region. A 37-year-old male patient who was transferred to the emergency room due to chest trauma by overturning of a forkcrane. His head, neck, and shoulders showed severe ecchymosis, and his upper chest was cyanotic. There was bilateral subconjunctival hemorrhage and bilateral ear bleeding without tympanic rupture. Perthes syndrome is a rare condition and we treated a patient with typical and atypical symptoms; thus we report this case of Perthes syndrome.
Key Words: Traumatic asphyxia; Perthes syndrome; Blunt chest trauma
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