RESUMO
Diuresis, glomerular filtration, tubular reabsorption (endogenous creatinine clearance), renal blood and plasma flow, total resistance of renal vessels, and filtration fraction were measured in 59 patients with mechanical (strangulation) asphyxia. Asphyxia and resulting hypoxia induced a substantial increase of diuresis, glomerular filtration and a decrease of tubular reabsorption. Disorders of renal hemodynamics which involved a decrease of renal plasma and blood flow and an increase of total resistance of renal vessels contributed significantly to the mechanism of changes of the renal excretory function. As shown by vasographic and morphological examinations, the state of intrarenal hemodynamics plays the major role in changes of the renal function.
Assuntos
Hemodinâmica , Hipóxia/fisiopatologia , Rim/fisiopatologia , Doença Aguda , Adulto , Asfixia/fisiopatologia , Autopsia , Humanos , Rim/irrigação sanguínea , Testes de Função Renal , Pessoa de Meia-Idade , RessuscitaçãoRESUMO
In order to study the mental, neurological and EEG changes due to strangulative asphyxia, the authors studied 163 patients who attempted suicide by selfhanging. In the poststrangulative period there was changed consciousness, disorders of memory, emotions, as well as neurological symptoms which eventually had a reversible course. All these data were confirmed by EEG studies. The convened investigation demonstrated a high therapeutical effect of modern resuscitative measures which can be rendered to this contingent of patients.