Maxeiner H
Institut für Rechtsmedizin der Freien Universität Berlin.
Arch Kriminol. 1987 Nov-Dec;180(5-6):161-71.
6 cases of suicide by hanging with delayed death are presented in tables laying out the circumstances and the findings. All the persons involved remained continuously unconscious after initially successful reanimation; two were at this time already dead. The survival times lay between 18 hours and 4 days. In two cases intravital vertebral death occurred. In the other cases death was due indirectly to hypoxial brain-damage which had led to a greater or lesser extent to elective parenchymal necrosis. In 3 of 4 histologically investigated cases there was evidence of extensive cell destruction in the PCA muscle which was, however, not specifically related to the process of hanging since lesions of this nature also occur with other cases of delayed death after reanimation. In 7th case the problems encountered in compiling an expert opinion are discussed in cases where there are no corresponding procedural details. A 44 year old man died 3 weeks after having been submitted to bondage in a brothel at his own request (including binding of the neck). Compression of the throat with emphasis on one side was evident resulting in extensive ganglial cell damage in one half of the cerebral cortex.
本文通过表格展示了6例缢吊自杀后延迟死亡的案例，列出了具体情况和尸检结果。所有患者在最初成功复苏后一直处于昏迷状态；其中2例当时已经死亡。存活时间在18小时至4天之间。2例发生了生前椎体死亡。其他案例的死亡间接归因于缺氧性脑损伤，这种损伤在不同程度上导致了选择性实质坏死。在4例进行组织学检查的案例中，有3例显示胸锁乳突肌存在广泛的细胞破坏，但这与缢吊过程并无特定关联，因为在其他复苏后延迟死亡的案例中也会出现这种性质的病变。第7个案例讨论了在没有相应程序细节的情况下编写专家意见时遇到的问题。一名44岁男子在应其自身要求被束缚于一家妓院（包括颈部捆绑）3周后死亡。可见喉部一侧受压明显，导致大脑皮质一半区域的神经节细胞广泛受损。
