这句话的意思是：在困境中，他用双手捂住了脸。
在这句话中，"窘迫"是指困境、困难的状态。"用双手捂住了脸"是指使用双手遮住脸部的动作，通常表示隐藏、掩饰或害羞。
这句话的英文表达可以是：
He covered his face with his hands in distress.
In distress, he covered his face with his hands.
例句：
She covered her face with her hands when she heard the bad news. (她听到坏消息时用双手捂住了脸)
He covered his face with his hands in embarrassment. (他尴尬地用双手捂住了脸)