Abstract:
Pulmonary edema is a rare mechanism of death that develops after partial hanging, a potential complication that physicians should consider early in the management of these patients. This case series discusses the presentation, evaluation, and treatment course of three patients who had attempted suicide by hanging and were admitted to the hospital. These patients were admitted to the intensive care unit after being stabilized and supportive treatment was provided. In all the cases, a radiological scan of the chest revealed diffuse infiltrates consistent with pulmonary edema on both sides, features of which were also noted during a diagnostic bronchoscopy. After providing the best intensive care in the hospital, two patients clinically improved, and one patient succumbed to cardiac arrest. As most patients will be brought dead to the hospital following hanging, negative pressure pulmonary edema remains underdiagnosed. Thus, this case series enumerates the possible etiologies of negative pressure pulmonary edema and its contribution to death following suicidal hanging.
摘要:
肺水肿是一种罕见的死亡机制,在部分悬挂后发展,医生在治疗这些患者的早期应考虑的潜在并发症。这个案例系列讨论了演示文稿,评估,以及三名试图吊死自杀并入院的患者的治疗过程。这些患者在稳定下来并提供支持治疗后被送往重症监护病房。在所有情况下,胸部放射学扫描显示弥漫性浸润与两侧肺水肿一致,在诊断支气管镜检查期间也注意到了其特征。在医院提供了最好的重症监护之后,两名患者临床好转,还有一个病人死于心脏骤停.因为大多数病人在吊死后会被送到医院,负压性肺水肿仍未被诊断。因此,该病例系列列举了负压性肺水肿的可能病因及其对自杀吊后死亡的贡献。