接近悬挂的伤害:创伤和紧急外科医生的前景
Patrizio Petrone1, Carlos J García-Sánchez1, Shahidul Islam2,3
1Department of Surgery, NYU Grossman Long Island School of Medicine, Mineola, NY, USA.
The American surgeon
|April 3, 2025
概括
接近悬挂的伤害,通常是自杀企图,在年轻男性中更为常见. 相关的部损伤很少见,心脏骤停和神经损伤显著增加死亡风险.
科学领域:
- 医学科学 医学科学 医学科学
- 创伤外科 手术 创伤外科
- 神经学 神经学
背景情况:
- 靠近悬挂的伤害由于机械窒息和潜在的宫创伤带来了复杂的临床挑战.
- 这些事件对全球发病率和死亡率做出了重大贡献.
研究的目的:
- 审查近吊伤害的发生率,人口统计,病理生理学和结果.
- 评估预后指标,并评估治疗策略近悬挂的幸存者.
主要方法:
- 一篇关于1946年至2023年间发表的Medline索引文章的叙事评论.
- 排除标准包括意外,儿科和自杀窒息病例,重点关注成人自杀企图.
主要成果:
- 对4712名患者的30篇文章进行了分析;73.5%的患者有绑定痕迹.
- 死亡率为26.9%,心脏骤停 (25.3%) 和格拉斯哥昏迷表 (GCS) 低得分 (<9.45%) 是关键因素.
- 相关的部损伤 (血管,气消化系统,骨) 是不常见的 (1.8-2.7%).
结论:
- 接近吊死主要是年轻男性的自杀企图,相关部创伤的发病率很低.
- 死亡率与心脏骤停和随后的神经损伤密切相关.
- 证据不支持高压氧,低温或有针对性的温度管理在这些关键情况下的生存.
相关概念视频
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01:22Esophageal Perforation-I: Introduction
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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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