경희대학교
의과대학 부속병원 응급의학과
박현경, 고영관
A
Case of the Centrineurogenic Acute Respiratory Distress Syndrome Following by Near-hanging
injury
Hyun
Kyung Park, M.D, Young Gwan Ko, M.D.
Department
of Emergency Medicine, College of Medicine, KyungHee University, Seoul, Korea
In
suicidal hanging, a death often occurs within minutes. If rescued, most victims
later succumb to the respiratory failure secondary to pulmonary edema, bronchopneumonia,
delayed airway obstruction, and acute respiratory distress syndrome(ARDS).
Out
of these, non-cardiogenic pulmonary edema is likely due to neurogenic factors or
negative intrathoracic pressure.
A
36-year-old female was brought to the Department of Emergency Medicine after the
suicidal hanging attempt. she was unconscious but responsive to painful stimuli.
A laryngeal stridor was present. The lung sound of the patient's was clear. Fourteen
hours after admission, a chest X-ray showed bilateraldiffuse interstitial infiltrates
in both lung fields, which was compatible was ARDS. The patient was intubated and
placed on a volume respirator with PEEP.
She
improved over next 48 hours and a repeat chest X-ray film showed marked clearing
of the infiltrates.
We
reported on the pathophysiologic results of this pulmonary complication and the
implication of this finding, regarding the treatment of the patient. |
