A Case of the Centrineurogenic Acute Respiratory Distress Syndrome Following by Near-hanging Injury.
- Author:
Hyun Kyung PARK
;
Young Gwan KO
- Publication Type:Case Report
- MeSH:
Adult;
Airway Obstruction;
Bronchopneumonia;
Emergency Medicine;
Female;
Humans;
Lung;
Pulmonary Edema;
Respiratory Distress Syndrome, Adult*;
Respiratory Insufficiency;
Respiratory Sounds;
Thorax;
Ventilators, Mechanical
- From:Journal of the Korean Society of Emergency Medicine
1999;10(3):487-492
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In suicidal hanging, a death often occurs within minutes. f 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 dear. Fourteen hours after admission, a chest X-ray showed bilateral diffuse interstitial infiltrates in both lung fields, which was compatible with ARDS. The patient was intubated and placed on a volume respirator with PEEP. She improved over the next 48 hours and a repeat chest X-ray aim showed marked clearing of the infiltrates. We report on the pathophysiologic results of this pulmonary complication and the implication of this finding, regarding the treatment of the patient.
