Kao Chia-Lung, Hsu I-Lin
Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City.
Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan City.
Chin J Traumatol. 2018 Apr;21(2):84-87. doi: 10.1016/j.cjtee.2017.04.013. Epub 2018 Jan 31.
Suicide becomes a serious problem in today's society and hanging is a common method of suicide. We want to find the factors which can predict the final functional outcomes of these cases.
All patients who presented to Accident and Emergency Department (ED) of the National Cheng Kung University Hospital from 1st January 2005 to 31th December 2013 with a hanging injury were included in this study. All cases were divided into good outcome group and bad outcome group according to Glasgow Outcome Scale (GOS). Data was analyzed by Mann-Whitney test and chi-square test.
Glasgow Coma Scale (GCS) < 3, pupil dilation and no pupillary light reflex both at the scene and ED were the factors to indicate poor functional outcome. Out-hospital cardiac arrest (OHCA), acidosis (pH < 7.2) and the need for intubation once arriving at ED were also related to poor functional outcome. OHCA cases all had poor functional outcome.
GCS, pupil size, pupillary light reflex, OHCA and acidosis are useful as prognostic factors. GCS = 3 lead to a very poor outcome. However, the functional outcome seems good in patients with GCS>3. There parameters can help to predict the outcome before treatment.
自杀在当今社会成为一个严重问题，上吊是一种常见的自杀方式。我们想要找出能够预测这些病例最终功能结局的因素。
纳入2005年1月1日至2013年12月31日期间在国立成功大学医院急诊科就诊的所有有上吊损伤的患者。所有病例根据格拉斯哥预后量表（GOS）分为良好结局组和不良结局组。数据采用曼-惠特尼检验和卡方检验进行分析。
格拉斯哥昏迷量表（GCS）<3、现场和急诊科均出现瞳孔散大且无瞳孔对光反射是提示功能结局不良的因素。院外心脏骤停（OHCA）、酸中毒（pH<7.2）以及到达急诊科后需要插管也与功能结局不良有关。OHCA病例的功能结局均不佳。
GCS、瞳孔大小、瞳孔对光反射、OHCA和酸中毒可作为预后因素。GCS = 3导致结局非常差。然而，GCS>3的患者功能结局似乎良好。这些参数有助于在治疗前预测结局。
