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从绝境中幸存：一例自杀性缢吊幸存者的阻塞性肺水肿和脑水肿病例

Surviving the Unthinkable: A Case of Post-obstructive Pulmonary Edema and Cerebral Edema in a Suicidal Hanging Survivor.

作者信息

Parepalli Avinash, Reddy Harshitha, Sontakke Tushar, Acharya Sourya, Rahul Neha

机构信息

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Radiation Oncology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 27;16(9):e70310. doi: 10.7759/cureus.70310. eCollection 2024 Sep.

DOI:10.7759/cureus.70310
PMID:39463612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512746/
Abstract

Hanging, ligature strangulation, and manual methods can all result in fatal injuries such as fractures, dislocations, and brain swelling. This case involves a 30-year-old woman who survived a hanging incident but subsequently developed pulmonary and brain swelling. Post-obstructive pulmonary edema (POPE) is characterized by sudden onset non-neurogenic, non-cardiogenic fluid accumulation in the lungs following the removal of an acute upper respiratory tract obstruction. This report explores the patient's clinical presentation, disease progression, management strategies, and potential complications that clinicians may encounter during treatment, thereby enriching their understanding of possible outcomes and challenges in patient care.

摘要

绞刑、勒颈和手动方法都可能导致致命伤害，如骨折、脱臼和脑肿胀。本病例涉及一名30岁女性，她在一次绞刑事件中幸存下来，但随后出现了肺部和脑部肿胀。梗阻后肺水肿（POPE）的特征是在急性上呼吸道梗阻解除后，肺部突然出现非神经性、非心源性液体蓄积。本报告探讨了患者的临床表现、疾病进展、管理策略以及临床医生在治疗过程中可能遇到的潜在并发症，从而加深他们对患者护理中可能出现的结果和挑战的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/e244579e8e56/cureus-0016-00000070310-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/42b5a5229293/cureus-0016-00000070310-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/687581f38047/cureus-0016-00000070310-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/57b30431c450/cureus-0016-00000070310-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/1edee13d32b3/cureus-0016-00000070310-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/83e10e376fed/cureus-0016-00000070310-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/5893a1d5ccf2/cureus-0016-00000070310-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/e244579e8e56/cureus-0016-00000070310-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/42b5a5229293/cureus-0016-00000070310-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/687581f38047/cureus-0016-00000070310-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/57b30431c450/cureus-0016-00000070310-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/1edee13d32b3/cureus-0016-00000070310-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/83e10e376fed/cureus-0016-00000070310-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/5893a1d5ccf2/cureus-0016-00000070310-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b6/11512746/e244579e8e56/cureus-0016-00000070310-i07.jpg

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本文引用的文献

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A Case Report of a High-Altitude Acute Pulmonary Embolism (HA-PE): A Catastrophic Masquerader of High-Altitude Pulmonary Edema (HAPE).一例高原急性肺栓塞（HA-PE）病例报告：高原肺水肿（HAPE）的灾难性伪装者
Cureus. 2023 Jun 26;15(6):e40975. doi: 10.7759/cureus.40975. eCollection 2023 Jun.
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Post-obstructive Pulmonary Oedema in Delayed Death by Hanging: A Case Report.绞刑延迟死亡中的梗阻后肺水肿：一例报告
Cureus. 2023 Mar 20;15(3):e36420. doi: 10.7759/cureus.36420. eCollection 2023 Mar.
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Hidden Mystery behind Unilateral Cerebellar Infarction in Hanging: A Case Report.
绞刑中单侧小脑梗死背后的隐藏奥秘：一例报告
Cureus. 2022 Nov 5;14(11):e31115. doi: 10.7759/cureus.31115. eCollection 2022 Nov.
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Postobstructive pulmonary edema: A fatal complication in suicidal near-hanging.梗阻后肺水肿：自杀未遂缢颈中的一种致命并发症。
SAGE Open Med Case Rep. 2020 May 20;8:2050313X20922712. doi: 10.1177/2050313X20922712. eCollection 2020.
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Neurological Outcomes Following Suicidal Hanging: A Prospective Study of 101 Patients.自杀式缢吊后的神经学转归：一项针对101例患者的前瞻性研究。
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Pulmonary Oedema in a survivor of Suicidal Hanging.一名自杀性缢吊幸存者的肺水肿
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Cerebral Edema and its Management.脑水肿及其处理
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Course of Near-hanging Victims Succumbed to Death: A Seven Year Study.缢吊幸存者死亡过程：一项为期七年的研究
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