Kanchan Tanuj, Atreya Alok
Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, India.
Department of Forensic Medicine, Devdaha Medical College & Research Institute, Devdaha, Rupandehi, Nepal.
J Forensic Leg Med. 2018 Apr;55:74-75. doi: 10.1016/j.jflm.2018.02.019. Epub 2018 Feb 15.
Hanging is one of the most lethal methods of suicide, where survival is an obvious rarity. Those who survive the initial act of hanging mostly suffer from hypoxic ischemic encephalopathy, and show some form of neurological damage. Intracranial haemorrhages are rarely associated with hanging. We report the first case of Duret haemorrhages in a 58 years old victim who survived for 8 days after the attempted hanging. Duret haemorrhage is mostly associated with fatal outcome. It is thus implied that cerebral edema should be brought under control at the earliest to prevent transtentorial herniation and subsequent Duret haemorrhages.
缢吊是最致命的自杀方式之一,幸存者极为罕见。那些在缢吊初始行为中存活下来的人大多患有缺氧缺血性脑病,并表现出某种形式的神经损伤。颅内出血很少与缢吊相关。我们报告了首例杜雷氏出血病例,患者为一名58岁的受害者,在试图缢吊后存活了8天。杜雷氏出血大多与致命结局相关。因此,意味着应尽早控制脑水肿,以防止小脑幕切迹疝及随后的杜雷氏出血。