Hanna S J
Accident and Emergency Department, Milton Keynes General Hospital, Eaglestone, Milton Keynes MK6 5LD, UK.
Injury. 2004 Mar;35(3):253-6. doi: 10.1016/s0020-1383(03)00110-4.
This paper reports 13 cases of near-hanging presenting to the Accident and Emergency (A + E) Department of a District General Hospital over a 52-month period. The purpose of the study was to analyse the epidemiology, methods, outcomes and complications of near-hanging. There were 13 cases in the study period, 12 of whom were male and 1 female. The mean age was 31 years. The most common method used was rope (five cases). The estimated mean duration of hanging was 5 min. Height of fall data was poorly recorded but only one fall was recorded as being more than 3 ft. Many had a very poor clinical picture on arrival of the ambulance crews: seven had a Glasgow Coma Score (GCS) of less than or equal to 8 on scene, of which five required intubation. Five patients required ventilation and a period of treatment on the Intensive Therapy Unit (ITU). There were no cervical spine (C-spine) injuries, nor neurological complications. There were two incidences of aspiration pneumonia. All of the patients made a full recovery. It is concluded that patients presenting with this injury go on to make a full recovery, despite an often dismal initial clinical picture.
本文报告了在52个月期间，一家地区综合医院急诊科收治的13例近乎缢死病例。本研究的目的是分析近乎缢死的流行病学、方法、结局及并发症。研究期间共有13例病例，其中男性12例，女性1例。平均年龄为31岁。最常用的方法是绳索（5例）。估计平均缢吊持续时间为5分钟。坠落高度数据记录不佳，但仅记录到1例坠落超过3英尺。许多患者在救护车人员到达时临床情况很差：7例现场格拉斯哥昏迷评分（GCS）小于或等于8分，其中5例需要插管。5例患者需要通气并在重症监护病房（ITU）接受一段时间的治疗。没有颈椎（C-spine）损伤，也没有神经并发症。有2例发生吸入性肺炎。所有患者均完全康复。结论是，尽管初始临床情况往往不佳，但此类受伤患者仍能完全康复。
