An Unusual and Fatal Case of Perthes’ Syndrome  

作　　者：F. B. Balde I. Oualil I. Sidibe T. Mukenge A. Mahmoudi M. Berdai K. Khatalla Y. Bouabdallah F. B. Balde;I. Oualil;I. Sidibe;T. Mukenge;A. Mahmoudi;M. Berdai;K. Khatalla;Y. Bouabdallah(Department of Pediatric Surgery, Hassan II Hospital and University Centre, Fez, Morocco;Mother and Child Resuscitation Service, Hassan II Hospital and University Centre, Fez, Morocco)

机构地区：[1]Department of Pediatric Surgery, Hassan II Hospital and University Centre, Fez, Morocco [2]Mother and Child Resuscitation Service, Hassan II Hospital and University Centre, Fez, Morocco

出　　处：《Open Journal of Pediatrics》2020年第3期515-520,共6页儿科学期刊（英文）

摘　　要：Perthes syndrome includes cervical and facial cyanosis, subconjunctival haemorrhage, petechial haemorrhages on the face, neck, and upper chest, secondary to chest compression. We report a clinical case of Perthes’ syndrome in 3-year-old boy victims of chest crush by a tractor. Clinical examination found: a Glasgow score at 13/15, polypnea, tachycardia, hypotension;wound of the occipital scalp, a low abundance of hematuria, deformation of the left lower limb. Body scan: bilateral pneumothorax and pulmonary contusions, left hemothorax;lacerations at the medial and upper renal pole grade IV, a low abundance of retroperitoneal hematoma, fracture of the left femur. Biological assessment showed major metabolic disturbances with severe acute rhabdomyolysis and multi-visceral failure. Without clinical improvement, the patient died after 36 hours of intensive care.Perthes syndrome includes cervical and facial cyanosis, subconjunctival haemorrhage, petechial haemorrhages on the face, neck, and upper chest, secondary to chest compression. We report a clinical case of Perthes’ syndrome in 3-year-old boy victims of chest crush by a tractor. Clinical examination found: a Glasgow score at 13/15, polypnea, tachycardia, hypotension;wound of the occipital scalp, a low abundance of hematuria, deformation of the left lower limb. Body scan: bilateral pneumothorax and pulmonary contusions, left hemothorax;lacerations at the medial and upper renal pole grade IV, a low abundance of retroperitoneal hematoma, fracture of the left femur. Biological assessment showed major metabolic disturbances with severe acute rhabdomyolysis and multi-visceral failure. Without clinical improvement, the patient died after 36 hours of intensive care.

关 键 词：Perthes Syndrome Traumatic Asphyxia COMPLICATIONS LETHAL 

分 类 号：R72[医药卫生—儿科]