Ası olgularının adli-tıbbi açıdan incelenmesi

Ası genellikle ölümle sonuçlanan ve her ortamda kolayca uygulanabildiğinden en sık tercih edilen intihar yöntemlerinden biridir. Asıda özellikle boyun yapılarında ciddi yaralanmalar görülür. Boyunda damar yaralanması, servikal vertebra yaralanması, larinks, trakea yaralanması görülebilir ya da boyun yaralanmasına sekonder serebral ödem, intrakraniyal kanama ortaya çıkabilir. Asıdan kurtulanlarda sıklıkla akut respiratuvar distres sendromu, akciğer ödemi, bronkopnömoni gibi pulmoner komplikasyonlar ve epilepsi görülebilir. Ası acil müdahale ve sonrasında profesyonel bakım gerektiren ciddi bir tablodur. Asıda erken ve doğru müdahale yapılsa dahi mortalite yüksektir ancak boyun yapılarının rahatlatılması ve komplikasyonların uygun şekilde tedavi edilmesi sağ kalımı artırır. Bu çalışmada amacımız en sık tercih edilen intihar şekillerinden biri olan ası vakalarına bir kez daha dikkati çekerek toplumu bu konuda bilinçlendirmek ve erken yapılan profesyonel müdahale ile kişilerin tekrar hayat bulabileceği gerçeğini vurgulamaktır.

Medico-legal examination of hanging

Hanging is usually fatal and it is one of the most preferred method of suicide due to can be applied easily at any environment. In hanging particularly serious injuries is seen on the neck structures. Vascular injuries, cervical spine injury, laryngeal, tracheal injury can be seen or cerebral edema, intracranial hemorrhage can be occurred secondary to neck injury. In survivors of hanging, epilepsy, pulmonary complications such as acute respiratory distress syndrome, pulmonary edema, and bronchopneumonia are frequently observed. Hanging is a serious health problem that requires urgent intervention and post-professional care. Hanging has a high mortality despite early and accurate intervention. However the relief of neck structures and the treatment of accompanying complications can increase survival. In this study, we aimed that once again attract attention one of the most preferred way of suicide hanging cases, raise awareness of community on this issue and emphasize the importance of the early interventions in patients with near hanging.

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