van Wouwe J P, Dandachli T H, Huber J
Afd. Kindergeneeskunde, Albert Schweitzerziekenhuis, locatie Zwijndrecht.
Ned Tijdschr Geneeskd. 1999 Oct 2;143(40):1985-8.
Three children, two girls aged 8 and 12 months and one boy aged 7 weeks, were found dead unexpectedly. Autopsy revealed pneumonia in two children, following which the diagnosis of 'natural, explained death' was made; one child showed no abnormalities and the diagnosis read 'natural, unexplained death' (cot death). Autopsy may currently only be performed with parental permission or, in case of doubt about unnatural cause of death, by order of the public prosecutor. The authors propose routine performance of a protocolled autopsy by GP, pediatrician, pathologist and medical examiner in order to avoid subsequent and possibly incorrect doubt about the cause of death.
三名儿童意外死亡，其中两名女孩分别为8个月和12个月大，一名男孩为7周大。尸检显示两名儿童患有肺炎，随后做出了“自然死亡，死因明确”的诊断；一名儿童未发现异常，诊断结果为“自然死亡，死因不明”（婴儿猝死综合征）。目前，尸检只有在获得父母同意的情况下才能进行，或者在对非自然死因存在疑问的情况下，由检察官下令进行。作者建议由全科医生、儿科医生、病理学家和法医进行标准化的常规尸检，以避免随后对死因产生可能错误的怀疑。
