- 期刊
Unilateral Laryngeal Edema in a Patient Rescued from Hanging - Case Report
上吊獲救病人之單側喉水腫－病例報告
摘要
大多數之自殺成功之患者均合併有其他精神疾病。嘗試自殺患者中有超過90%有嚴重精神疾病。憂鬱症更是精神疾病中與自殺行為關係最密切者，約有65%之自殺病患曾診斷為某種型式之憂鬱症。 上吊自殺為性自殺者常使用方式之一，死因主要為呼吸道及血管之堵塞。本院於年初住進一上吊自殺獲救之重度憂鬱病人，於3日後拔除氣管內插管4小時後發\生呼吸窘迫，經診斷為單側喉水腫，類固醇治療3日後完全康復。因本病\例特殊且自殺及可能之合併症詳加瞭解，以及早診斷及治療。
關鍵字
無資料並列摘要
More sophisticated and industrialized society takes a higher incidence of suicidal cases. A patient with major depression, who as rescued from hinging attempt, was referred to our hospital 3 days later. The endotracheal tube (ET) was removed at our emergency room. Unfortunately, dyspnea and hoarseness immediately developed 4 hours after the removal of ET. Unilateral laryngeal edema was observed by laryngeal edema was observed by laryngeal videoendoscopic examination. The edema subsided after intensive treatment with intravenous steroid for 3 days. The patient was discharged 4 weeks later without any neurological deficit. Otolaryngologists should be aware of the possibility of unilateral laryngeal edema in patients with hanging attempt during the recovering period.(J Otolaryngol Soc 1997;32:459-463)