Department of Forensic Medicine, Wroclaw Medical University, 4 Mikulicz-Radecki St., 50-345, Wroclaw, Poland,
Adv Exp Med Biol. 2013;788:413-6. doi: 10.1007/978-94-007-6627-3_56.
Violent asphyxia can be subdivided into various kinds according to the mechanism, so that the resuscitation techniques are different in each case. The purpose of the present article was to analyze the autopsy reports of the Department of Forensic Medicine of the Medical University in Wroclaw, Poland of 2010, in which the established cause of death was violent asphyxia. We found that among the 890 autopsies performed, there were 164 cases of death due to violent asphyxia caused by drowning, choking on food, gastric fluid, or blood, hanging, manual strangulations, immobilization of the chest (positional asphyxia), environmental asphyxia due to substitution of the oxygen-rich air for some other gas, and others. The most common cause of death in the group was hanging, mostly suicidal hangings of alcohol-intoxicated males. Despite an early medical treatment consisting of removing the noose from the neck and suction the fluids from the mouth and bronchial tree to safe the central nervous system from imminent hypoxia, there were negative outcomes in most cases due to the development of critical brain ischemia, with deaths followed after several days spent in the intensive care units. No connection to gender or age of the deceased was noted. We conclude that violent asphyxia remains to be a quite commonly cause of death in the practice of forensic pathologists - among all the autopsies performed in 2010 every sixth was of an asphyxia victim.
根据机制，暴力性窒息可分为多种类型，因此每种情况下的复苏技术都不同。本文的目的是分析 2010 年波兰弗罗茨瓦夫医科大学法医学系的尸检报告，其中确定的死因是暴力性窒息。我们发现，在进行的 890 次尸检中，有 164 例因溺水、食物、胃液或血液窒息、上吊、手动勒死、胸部固定（位置性窒息）、用其他气体代替富含氧气的空气引起的环境窒息以及其他原因导致的暴力性窒息死亡。该组中最常见的死因是上吊，主要是醉酒男性的自杀上吊。尽管早期的医疗治疗包括从颈部取下绳索并从口腔和支气管吸出液体，以保护中枢神经系统免受即将发生的缺氧，但由于严重脑缺血的发展，大多数情况下仍出现不良后果，在重症监护病房中度过数天后死亡。未发现与死者的性别或年龄有关。我们得出结论，暴力性窒息仍然是法医学家实践中相当常见的死因-在 2010 年进行的所有尸检中，每六例就是窒息受害者。
