Murphy P G, Jackson R, Kirollos R, Gibson J S, Chennells P
Department of Anaesthesia, General Infirmary, Leeds.
Br J Anaesth. 1993 May;70(5):583-6. doi: 10.1093/bja/70.5.583.
We describe a case of severe acute lung injury after attempted strangulation. The patient presented initially with cerebral irritability and florid, noncardiogenic pulmonary oedema which were followed by a prolonged period of the adult respiratory distress syndrome, severe sepsis and multiple system organ failure, although the patient eventually survived. The pulmonary injury following strangulation is proposed to be a result of the generation of marked subatmospheric pressures within the lungs during vigorous inspiration against an obstructed airway, although the processes involved in the so-called neurogenic pulmonary oedema are difficult to exclude.
我们描述了一例绞扼未遂后发生严重急性肺损伤的病例。患者最初表现为脑激惹和明显的非心源性肺水肿，随后经历了长时间的成人呼吸窘迫综合征、严重脓毒症和多系统器官衰竭，不过患者最终存活下来。绞扼后发生的肺损伤被认为是在气道受阻的情况下用力吸气时肺内产生显著负压的结果，尽管所谓神经源性肺水肿所涉及的过程难以排除。
