Omori Kazuhiko, Takeuchi Ikuto, Yanagawa Youichi
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
Case Rep Emerg Med. 2019 Feb 5;2019:4706278. doi: 10.1155/2019/4706278. eCollection 2019.
The clothing of a forty-five-year-old man became entrapped by the mixing rotator while he was operating a soybean milling machine. His clothing was wound around the rotator, and tightened around his neck and chest, causing strangulation and a loss of consciousness. He was rescued by his coworkers and transported to our hospital by helicopter. Upon arrival, he regained consciousness. A physiological examination revealed multiple petechiae on his face and strangulation marks with subcutaneous hemorrhage on his neck and upper trunk. In addition, he had motor weakness of the right upper extremity and bilateral paresthesia from C5 to Th1. All radiological studies were negative. He was admitted for observation. After the patient's creatine phosphokinase level peaked and his focal neurological signs improved, he was discharged on foot on the 6 hospital day. Accidental ligature strangulation with cervical nerve root injury, in which an article of clothing is caught in an electrical machine and strangles the wearer, is very rare. This case is presented for its rarity and the unique pattern of injury.
一名45岁男子在操作大豆研磨机时，衣物被搅拌旋转器缠住。他的衣服缠在旋转器上，并在其颈部和胸部收紧，导致窒息和失去意识。他被同事救出，并由直升机送往我院。到达时，他恢复了意识。体格检查发现其面部有多处瘀点，颈部和上躯干有伴有皮下出血的勒痕。此外，他右上肢有运动无力，从C5到Th1双侧感觉异常。所有影像学检查均为阴性。他入院观察。患者肌酸磷酸激酶水平达到峰值且局灶性神经体征改善后，于住院第6天步行出院。衣物被电机缠住并勒住穿着者导致的意外勒颈窒息伴颈神经根损伤非常罕见。本文报告此病例是因其罕见性及独特的损伤模式。
