Egge Melissa K, Berkowitz Carol D, Toms Carla, Sathyavagiswaran Lakshmanan
Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, University of California, Los Angeles, Los Angeles, CA 90509, USA.
Pediatr Emerg Care. 2010 Mar;26(3):206-8. doi: 10.1097/PEC.0b013e3181d1e3e3.
A 12-year-old girl was brought to the pediatric emergency department by ambulance after her mother found her hanging from her bunk bed. The patient was resuscitated initially but died 5 days later after support was withdrawn. A sexual assault examination was performed, and the finding was negative. The case was investigated as a possible homicide or suicide. Upon questioning relatives, it was disclosed that the deceased had played the choking game. No one knew she had been playing the game alone. The choking game is popular with adolescents and is particularly dangerous when played alone. Emergency physicians should be aware of the characteristic warning signs that include frequent severe headaches, altered mental status after spending time alone, neck markings, and bloodshot eyes and counsel adolescents about the real risks associated with the activity. Accident, suicide, homicide, autoerotic behavior, and the "choking game" should be considered in the differential when an adolescent presents with evidence of strangulation.
一名12岁女孩被母亲发现悬挂在双层床上后，由救护车送往儿科急诊科。患者最初经抢救成功，但在撤除支持治疗5天后死亡。进行了性侵检查，结果为阴性。该案件作为可能的他杀或自杀进行调查。询问亲属时得知，死者曾玩窒息游戏。没人知道她一直在独自玩这个游戏。窒息游戏在青少年中很流行，独自玩时尤其危险。急诊医生应了解其特征性警示信号，包括频繁严重头痛、独处一段时间后精神状态改变、颈部痕迹和眼睛充血，并向青少年咨询与该活动相关的真正风险。当青少年出现勒颈迹象时，鉴别诊断应考虑意外、自杀、他杀、自慰行为和“窒息游戏”。
