Zusammenfassung
Überroll- und damit einhergehende Einklemmungstraumata führen häufig zu einer schweren
Polytraumatisierung, die in seltenen Fällen ein Perthes-Syndrom, auch traumatische
Asphyxie genannt, zur Folge hat. Das Perthes-Syndrom präsentiert sich mit der Trias
einer kraniozervikalen Zyanose, Petechien im Gesicht und subkonjunktivalen Blutungen,
die eine rasche Diagnosestellung ermöglicht. Die Kasuistik stellt einen klinischen
Fall vor.
Abstract
Roll-over trauma and associated traumatic entrapments frequently result in serious
polytraumatisation. In rare cases, severe extrathoracic compressions and a protracted
entrapment period can lead to Perthes syndrome, also known as traumatic asphyxia.
The Perthes syndrome manifests itself by a triad of craniocervical cyanosis, facial
petechiae and subconjunctival haemorrhages, enabling a rapid diagnosis based on these
typical clinical features. In addition, a contusion of the heart, lungs or even the
liver may occur as well as neurological and other ophthalmological complications.
An early identification of this condition, the elevation of the upper body to allow
adequate venous drainage in addition to ensuring sufficient oxygenation are essential
for optimal therapy. In general, no long-term complications are to be expected for
Perthes syndrome. The stasis usually disappears completely within a few months.
Schlüsselwörter
Perthes-Syndrom - Einklemmungstrauma - RotoRest
Key words
roll-over trauma - Perthes-syndrome - traumatic entrapments
