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小儿绞缢伤:快速干预与神经功能完全恢复

Pediatric hanging injury: Rapid intervention and full neurological recovery.

作者信息

Elssa Matyas Wondwossen, Merahi Merahi Kefyalew, Aweke Kebron Wossen, Abera Bement Girma, Aragaw Kidist Nega, Mekuria Kefelegn Negalign, Gebresilassie Daniel Berhane

机构信息

College of Health Science, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.

College of Health Science, School of Medicine, Wolkite University, Wolkite, Ethiopia.

出版信息

Radiol Case Rep. 2025 Jun 28;20(9):4755-4759. doi: 10.1016/j.radcr.2025.06.007. eCollection 2025 Sep.

DOI:10.1016/j.radcr.2025.06.007
PMID:40677889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12268176/
Abstract

Hanging injuries are a subset of strangulation injuries that pose significant risks of hypoxia and neurological damage, especially in pediatric populations. This report presents a case of a 13-year-old boy with hypoxic brain injury following a suicide attempt by hanging. Key aspects include the prolonged duration of strangulation, absence of vertebral or laryngeal trauma, successful intensive care management, and full recovery without residual neurological deficits. This case emphasizes the importance of timely intervention, multidisciplinary management, and preventive education to address the acute and long-term challenges of pediatric hanging injuries.

摘要

悬吊伤是绞窄伤的一种,具有显著的缺氧和神经损伤风险,在儿童群体中尤为如此。本报告介绍了一例13岁男孩在试图上吊自杀后出现缺氧性脑损伤的病例。关键要点包括绞窄时间延长、无脊椎或喉部创伤、成功的重症监护管理以及完全康复且无残留神经功能缺损。该病例强调了及时干预、多学科管理和预防教育对于应对儿童悬吊伤的急性和长期挑战的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9d/12268176/a96f75bab372/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9d/12268176/203a90381b64/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9d/12268176/df4940b1f366/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9d/12268176/a96f75bab372/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9d/12268176/203a90381b64/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9d/12268176/df4940b1f366/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a9d/12268176/a96f75bab372/gr3.jpg

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本文引用的文献

1
Pediatric hanging and strangulation: is vascular injury a true risk?小儿悬吊与绞勒伤:血管损伤是否真的存在风险?
Pediatr Radiol. 2021 Sep;51(10):1889-1894. doi: 10.1007/s00247-021-05056-1. Epub 2021 Mar 30.
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Factors Associated With Poor Outcome in Pediatric Near-Hanging Injuries.小儿近缢伤预后不良的相关因素
J Emerg Med. 2019 Jul;57(1):21-28. doi: 10.1016/j.jemermed.2019.03.013. Epub 2019 Apr 25.
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Accidental strangulation in children by the automatic closing of a car window.儿童因车窗自动关闭而意外窒息。
Rev Bras Ter Intensiva. 2018 Mar;30(1):112-115. doi: 10.5935/0103-507x.20180017.
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JAMA Psychiatry. 2013 Mar;70(3):300-10. doi: 10.1001/2013.jamapsychiatry.55.
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Lancet. 2012 Jun 23;379(9834):2373-82. doi: 10.1016/S0140-6736(12)60322-5.
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