Živković Vladimir, Nikolić Slobodan
Srp Arh Celok Lek. 2012 Mar-Apr;140(3-4):198-203. doi: 10.2298/sarh1204198z.
Hanging usually ends in death, and about 80% of victims are found dead at the scene of the hanging. However, sometimes the hanging victims overlive for some time, and sometimes even survive the hanging.
The aim was to determine the causes of death in near-hanging cases, in people who have been outliving hanging for some time, to explain the pathophysiological mechanisms leading to death, and to identify prognostic factors for this outcome.
Retrospective autopsy study was performed for a twelve-year period. There were only seven cases of near hanging.The sample was analyzed according to gender, age, circumstances of death, and autopsy findings of all observed subjects. The relevant data were collected from autopsy records, police reports and heteroanamnestic interviews.
The sample consisted of five men and two women, average age 48.3 +/- 19.9 years (29-81 years). The average outliving period was 3.8 +/- 2.6 days (from 7 hours to 7 days). Six people were admitted to hospital in the state of deep coma. In six cases cardiopulmonary arrest occurred after the hanging attempt and all were reanimated for a shorter or longer time until admission at hospital.
Survival after attempted suicide by hanging occurs extremely rarely. In all the cases, the immediate cause of death after attempted hanging was ischemic brain injury, with a significant and pronounced oedema. In all the cases observed, regardless of the presence or absence of injuries of soft and hard structures of the neck, there was a ligature mark on the neck skin. Acute hemorrhagic gastritis with melaena was present in a significant number of reported cases of near-hanging.
缢吊通常会导致死亡，约80%的受害者被发现死于缢吊现场。然而，有时缢吊受害者会存活一段时间，甚至能从缢吊中幸存下来。
旨在确定接近缢死病例（即那些缢吊后存活一段时间的人）的死亡原因，解释导致死亡的病理生理机制，并确定这一结果的预后因素。
进行了为期十二年的回顾性尸检研究。仅有七例接近缢死的病例。根据所有观察对象的性别、年龄、死亡情况和尸检结果对样本进行分析。相关数据从尸检记录、警方报告和他人回忆访谈中收集。
样本包括五名男性和两名女性，平均年龄48.3±19.9岁（29 - 81岁）。平均存活时间为3.8±2.6天（从7小时到7天）。六人在深度昏迷状态下被送往医院。六例在缢吊尝试后发生心肺骤停，并且在入院前均被复苏了或多或少的一段时间。
缢吊自杀未遂后存活极为罕见。在所有病例中，缢吊尝试后直接死亡原因是缺血性脑损伤，伴有显著且明显的水肿。在所有观察到的病例中，无论颈部软硬结构有无损伤，颈部皮肤均有勒痕。大量接近缢死的报告病例中存在急性出血性胃炎伴黑便。
