Delayed deaths in near-hanging cases: An autopsy study of causes and associated factors

Jayanth S. Hosahally; Hosahally Jayanth S.; Jayanth S. Hosahally; Girish Y.P. Chandra; Chandra Girish Y.P.; Girish Y.P. Chandra; Basappa S. Hugar; Hugar Basappa S.; Basappa S. Hugar

doi:10.17816/fm14218

不完全缢吊导致的延迟死亡：根据尸检结果对死亡原因和相关因素的研究

作者: Hosahally J.S.¹, Chandra G.Y.², Hugar B.S.²
隶属关系:
1. Dr Chandramma Dayananda Sagar Institute of Medical Education & Research, DSU
2. MS Ramaiah Medical College
期: 卷 9, 编号 4 (2023)
页面: 373-381
栏目: ORIGINAL STUDY ARTICLES
URL: https://journals.rcsi.science/2411-8729/article/view/251331
DOI: https://doi.org/10.17816/fm14218
ID: 251331

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简评

论证。不完全缢吊自杀往往会导致不同时间段的勒死窒息幸存者出现病理状态。住院患者可能会出现导致延迟死亡的并发症。

该研究的目的是评估与不完全缢吊导致的延迟死亡原因有关的各种因素，提出关于改善紧急医疗服务的建议。

材料与方法。这项前瞻性尸检研究是2012年至2021年在印度M.S.Ramaiah医学院（M.S.Ramaiah Medical College）法医学系进行的。该研究包括所有不完全缢吊并随后住院治疗的病例。这些患者随后死于并发症，并接受了法医学尸体检验。

结果。受害者多为19至30岁的女人。半数以上的受害者能在事发后30分钟至1小时内到达医院。47.8%的患者在1-3分钟内经历了窒息。同时，65%的患者在超过一天后仍然存活。最常见的是不完全缢吊，勒痕不明显，其中95.7%的病例是从至少1m的高处坠落。尸体解剖时最常发现的是脑水肿和肺水肿。大多数病例死于缺氧性脑病。

结论。不完全缢吊致死的预测因素包括：勒死时间长、坠落高度高、未与支撑物接触、脑水肿和肺水肿、缺氧、低血压。

关键词

缢吊, 死因, 并发症, 自杀

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作者简介

Jayanth S. Hosahally

Dr Chandramma Dayananda Sagar Institute of Medical Education & Research, DSU

Email: veejay02@gmail.com
ORCID iD: 0000-0001-5209-1133

MD, Associate Professor, Department of Forensic Medicine,

印度, Devarakaggalahalli

Girish Y.P. Chandra

MS Ramaiah Medical College

编辑信件的主要联系方式.
Email: girishchandra14@gmail.com
ORCID iD: 0000-0002-5446-8114

MD, Professor, Department of Forensic Medicine

印度, Bangalore

Basappa S. Hugar

MS Ramaiah Medical College

Email: bshugar2007@gmail.com
ORCID iD: 0000-0002-4470-0549

MD, Professor, Department of Forensic Medicine

印度, Bangalore

参考

Karanth S, Nayyar V. What influences outcome of patients with suicidal hanging. J Assoc Physicians India. 2005;(53):853–856.
Suicides in India. Accidental Deaths & Suicides in India. National Crime Records Bureau. Ministry of Home Affairs [03.03.2022]. 2020. Available from: http://ncrb.nic.in. Accessed: 15.11.2023.
Kodikara S. Attempted suicidal hanging an uncomplicated recovery. Am J Forensic Med Pathol. 2012;33(4):317–318. doi: 10.1097/PAF.0b013e3182443585
Rao D. An autopsy study of death due to Suicidal Hanging, 264 cases. Egypt J Forensic Sci. 2016;20(3):248–254. doi: 10.1016/j.ejfs.2015.01.004
Boots RJ, Joyce C, Mullany DV, et al. Near-hanging as presenting to hospitals in Queensland: Recommendations for practice. Anaesth Intensive Care. 2006;34(6):736–745. doi: 10.1177/0310057X0603400610
Sane MR, Mugadlimath AB, Zine KU, et al. Course of near-hanging victims succumbed to death: A seven year study. J Clin Diagnostic Res. 2015;9(3):HC01–HC03. doi: 10.7860/JCDR/2015/11189.5647
Rao BS. A Post-mortem study of deaths due to hanging reported to RIMS, Adilabad. Eur J Molecul Clin Med. 2020;7(11): 8809–8815.
Jayaprakash S, Sreekumari K. Pattern of injuries to neck structures in hanging-an autopsy study. Am J Forensic Med Pathol. 2012;33(4):395–399. doi: 10.1097/PAF.0b013e3182662761
Debbarma S, Deka SJ. Study of delayed death in hanging. Indian J Forens Commun Med. 2016;3(4):280–283.
Kumar V. Delayed hanging death: A case report. J Pak Med Assoc. 2007;57(1):39–41.
Harish D, Kumar A, Sirohiwal BL, Dikshit PC. Delayed death in hanging: Case reports. J Forensic Med Toxicol. 1994;(9):48–50.
Nithin MD, Manjunatha B, Kumar GN, Sasidharan S. Delayed death in hanging. J Forensic Res. 2011;4(S1):1. doi: 10.4172/2157-7145.S1-001