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[缢吊所致肺水肿]

[Pulmonary edema in hangings].

作者信息

Petitjean C, Scheydeker J L, Suinat J L, Rendoing J

出版信息

Ann Anesthesiol Fr. 1975;16 Spec No 2-3:57-65.

PMID:9873
Abstract

The authors present two cases of unsuccessful hanging which hat lead to a very severe neurological picture and especially the very rapid appearance of acute pulmonary edema resulting in a vertiable flooding of the alveoli. The victims, aged respectively 21 and 15 years, were free from any pre-existing cardiopathy. These cases of pulmonary edema, resistant to depletive therapy (bleeding, diuretics) and cardiotonic agents (Cedilanid) should only be jugulated after a one hour session of oxygen at 3 ATA with a baro-assisted respirator. The following are discussed with reference to these two cases: 1- The mode of occurrence of this type of pulmonary edema: - implication of sub-acute anoxic cerebral damage; - high negative alveolar pressures owing to a gasp-type ventilation with a closed glottis. 2- The opportunity for the very early treatment of the oxygen deficit contracted by the brain and myocardium.

摘要

作者报告了两例绞刑未遂病例,这两例导致了非常严重的神经学症状,尤其是急性肺水肿迅速出现,致使肺泡严重积水。受害者分别为21岁和15岁,均无任何先前存在的心脏病。这些肺水肿病例对放血疗法(放血、利尿剂)和强心剂(西地兰)均无反应,仅应在使用气压辅助呼吸器以3个绝对大气压的压力进行一小时吸氧治疗后加以控制。参照这两例病例讨论了以下内容:1 - 这种类型肺水肿的发生方式: - 亚急性缺氧性脑损伤的影响; - 由于声门关闭的喘息式通气导致的高负肺泡压。2 - 对大脑和心肌所收缩的氧亏空进行极早期治疗的时机。

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