Kodikara Sarathchandra
Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Sri Lanka.
Am J Forensic Med Pathol. 2012 Dec;33(4):317-8. doi: 10.1097/PAF.0b013e3182443585.
Although hanging is common across the world, survival after attempted hanging is very rare with death usually occurring within minutes or over the first 24 hours. If the person survives the initial event, later he/she may die because of the severity of the initial hypoxic and ischemic brain damage. Survival from hanging is often associated with various complications including a large variety of neurological consequences. This case report highlights a rare case of survival in attempted hanging of a 35-year-old man, with previous suicide ideation. Within 15 minutes of the incident, he was brought to a tertiary care hospital. On admission, he was unconscious and the Glasgow Coma Scale was 4 with tachycardia, weak pulse, bradypnea, and shallow breathing. With vigorous and prompt resuscitation methods, he gradually recovered without any residual neurological outcome. Prognostically good results could be achieved, if such victims are vigorously and promptly resuscitated, irrespective of their initial presentation.
尽管缢吊在世界各地都很常见,但缢吊未遂后的存活情况非常罕见,死亡通常发生在几分钟内或最初的24小时内。如果患者在最初的事件中幸存下来,随后可能会因最初的缺氧缺血性脑损伤的严重程度而死亡。缢吊存活往往与各种并发症相关,包括各种各样的神经后果。本病例报告强调了一名35岁有自杀意念男子缢吊未遂后罕见的存活案例。事件发生后15分钟内,他被送往一家三级护理医院。入院时,他昏迷不醒,格拉斯哥昏迷量表评分为4分,伴有心动过速、脉搏微弱、呼吸缓慢和呼吸浅弱。通过积极迅速的复苏方法,他逐渐康复,没有任何神经功能后遗症。如果对这类受害者进行积极迅速的复苏,无论其最初表现如何,都可以取得良好的预后结果。