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窒息和上吊 Near Hanging & Strangulation
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窒息和上吊
1.
窒息和上吊Near Hanging &
Strangulation
2.
1 2 3
窒息和上吊 處決性 (完全性)絞刑 非處決性 (非完全性)上吊 徒手窒息 或絞扼窒息
3.
4.
脊髓或腦幹損傷 頸部結構機械性壓迫 心臟停止
機轉
5.
若傷者墜落距離超過自己身高(處決性絞刑),傷者常死於高位頸椎骨折造成脊髓斷裂。
6.
非處決性上吊不會造成頸椎骨折,一般不需保護頸椎或頸圈固定 頸圈可能造成呼吸道外部壓迫,並且可能阻礙頸部之系列評估(例如擴散中之血腫) 除非已經排除頸椎骨折,否則最好要做好保護頸椎或頸圈固定
p1744 p1595
7.
Hangman's fracture. Mechanism:
extension. Stability: unstable. Fracture lines extending through the pedicles of C2 are well visualized. Retropharyngeal soft tissue swelling is apparent.
8.
Tardieu’s spot: 在絞扼上方之結膜、黏膜,皮膚造成點狀出血點。
院內死亡主要原因為肺部併發症(吸入性肺炎、肺水腫、急性呼吸窘迫症)。
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