Sauvageau Anny, Racette Stéphanie
Laboratoire de sciences judiciaires et de médecine légale, Edifice Wilfrid-Derome, 1701, Parthenais street, 12 floor, Montreal, QC, Canada H2K 3S7.
J Forensic Sci. 2007 Jul;52(4):957-9. doi: 10.1111/j.1556-4029.2007.00459.x. Epub 2007 May 25.
The forensic literature on the pathophysiology of human hanging is still limited. Therefore, forensic pathologists often feel uncomfortable when confronted with related questions. Here presented is the filmed suicidal hanging of a 37-year-old man. This recording allows a unique analysis of agonal movement sequences: loss of consciousness (13 sec), convulsions (15 sec), decortication rigidity (21 sec), decerebration rigidity (46 sec), second decortication rigidity (1 min 11 sec), loss of muscle tone, (1 min 38 sec) and last isolated muscle movement (4 min 10 sec). As for respiratory responses, very deep respiratory attempts started at 20 sec. Respiratory movements progressively decreased and completely stopped at 2 min. Despite the fact that extending the presented data on all cases of hanging asphyxia would be a mistake, this case gives a very interesting insight into movement and respiratory response to asphyxia by hanging.
关于人类缢死病理生理学的法医学文献仍然有限。因此，法医病理学家在面对相关问题时常常感到棘手。本文展示的是一名37岁男子自杀缢死的录像。该记录使得对濒死期运动序列进行独特分析成为可能：意识丧失（13秒）、抽搐（15秒）、去皮层强直（21秒）、去大脑强直（46秒）、第二次去皮层强直（1分11秒）、肌张力丧失（1分38秒）以及最后的孤立肌肉运动（4分10秒）。至于呼吸反应，在20秒时开始出现非常深的呼吸尝试。呼吸运动逐渐减弱并在2分钟时完全停止。尽管将所呈现的数据推广至所有缢死窒息病例是错误的，但该案例为缢死导致的窒息时的运动和呼吸反应提供了非常有趣的见解。
