hang to death
Introduction
Introduction to sudden death Strangulation or strangulation, commonly known as suicidalhanging, mostly due to psychological and emotional factors, or in patients with mental illness and delusions and other symptoms, self-destruction can cause serious damage to the brain and various organs of the body. However, the degree of damage varies depending on the thickness of the reins, the gravity of the body, and the length of time. basic knowledge The proportion of sickness: 0.01% - 0.02% Susceptible people: no special people Mode of infection: non-infectious Complications: Depression Symptoms
Cause
Sudden cause
Psychological factors (65%)
Self-discipline is more common in mental disorders, or mental illness, such as depression, delusion and other symptoms of the use of ropes and other things to compress the neck can cause respiratory tract occlusion caused by suffocation.
Other factors (25%)
Sudden death can also be seen in some countries or regions for a sentence of execution for prisoners of death. At present, the prisoner usually stands or sits on the door, black cloth hoods, and then hangs the rope on the neck and buckles the heavy objects. When the executor pulls open the door, the prisoner will break the cervical spine and die.
Prevention
Sudden death prevention
Self-defeating behavior is mainly to do psychological counseling and prevent mental, psychological and behavioral disorders. Patients with other diseases encourage patients to build confidence in the fight against disease, mobilize the patient's subjective enthusiasm, maintain optimism, and avoid tension.
Complication
Sudden death complications Complications Depression paranoia
Carotid sinus reflex can cause cardiac arrest, and patients may have clinical manifestations of mental symptoms such as depression, paranoia, and psychological behavior disorder.
Symptom
Sudden Death Symptoms Common Symptoms Unconsciousness Breathing Slow and Slow Tongue Mild Exogenous Eyes Upturned and Fixed Hairpins
The patient's self-satisfaction time is short, the clinical manifestations are facial blemishes, both eyes are turned upside down, the tongue is mildly vomiting, the breathing stops, the heartbeat is weak and the mind is unconscious; the heavy ones not only stop breathing, the pulse and heartbeat disappear, the limbs become cool, the urine Incontinence, basic death, has been difficult to treat.
Examine
Sudden death check
1. There is no specificity in routine examination of hematuria.
2. Blood gas analysis and blood biochemical examination have clinical value for patients who are rescued in the later stage.
3. CT and MRI examinations are meaningful for judging brain tissue damage.
4. Check if there is a mental problem or have been stimulated.
5. Microscopic examination: In addition to edema in the brain tissue, the nerve cells are mostly acute cell swelling, the cell body is swollen, the nucleus is normal, and there are small empty cells in the cytoplasm called "microcavitation", and the mitochondria is enlarged. It is not clear. Later, the nerve cells in the brain further showed ischemic cell disease. At this time, the cell body shrinks and shrinks, the nucleus is condensed and deeply stained into a triangle, and the cytoplasm is deeply stained with eosin (HE) or purple (Nissl) color.
Diagnosis
Sudden death diagnosis
diagnosis
Mainly based on the history of sudden death (self-deprecating).
Differential diagnosis
The disease belongs to the scope of forensic science. Sudden death should be differentiated from other deaths, or it can be differentiated by cordage after death. Clinical forensic examination can be based on the appearance of dead corpse, and the anatomical examination can be based on the degree of subcutaneous congestion. And the time of occurrence to distinguish, if necessary, the pathological examination of skin tissue can be clearly defined.
