Gandhi Ritika, Taneja Neeta, Mazumder Paritosh
Sri Balaji Action Medical Institute, Delhi, India.
Indian J Anaesth. 2011 Jul;55(4):388-91. doi: 10.4103/0019-5049.84863.
Hanging is a common method of suicide/homicide in the Indian scenario. We report three successive cases of attempted suicidal hangings seen over a period of 4 months in our intensive care wards. All of them presented gasping with poor clinical status and required immediate intubation, resuscitation, assisted ventilation and intensive care treatment. None had cervical spine injury, but one patient developed aspiration pneumonia. All the three patients received standard supportive intensive care and made full clinical recovery without any neurological deficit. We conclude that the cases of near hanging should be aggressively resuscitated and treated irrespective of dismal initial presentation. This is well supported by the excellent outcomes in our cases despite their poor initial condition.
在印度，绞缢是自杀/他杀的常见方式。我们报告了在4个月内，在我们重症监护病房连续出现的3例自杀未遂绞缢病例。他们均表现为喘息且临床状态不佳，需要立即插管、复苏、辅助通气及重症监护治疗。他们均无颈椎损伤，但有1例患者发生了吸入性肺炎。所有3例患者均接受了标准的支持性重症监护治疗，临床完全康复，无任何神经功能缺损。我们得出结论，无论初始表现多么糟糕，对接近绞缢的病例都应积极进行复苏和治疗。尽管我们的病例初始情况不佳，但最终取得了良好的结果，有力地支持了这一点。
