Limerick S R, Bacon C J
Foundation for the Study of Infant Deaths, Artillery House, 111-9 Artillery Row, London SW1P 1RT, UK.
J Clin Pathol. 2004 Mar;57(3):309-11. doi: 10.1136/jcp.2003.013052.
To determine whether the terms used by pathologists in reporting on sudden infant deaths are applied consistently.
Postal survey.
Replies were received from 63 pathologists who carry out necropsies after sudden infant deaths. There was a pronounced variation in their use of the terms "sudden infant death syndrome" and "unascertained", with the last term being applied not only when there were apparently suspicious features but also in various other circumstances. Opinions were divided as to whether the term "sudden infant death syndrome" still serves a useful purpose. Deaths that had occurred while bed sharing were categorised in several different ways. Many pathologists commented on the inadequacy of the history available to them at the time of their report.
There is a serious need for greater consistency in the way pathologists report on sudden death in infants. Pathologists should be provided with a full history before they carry out the necropsy.
确定病理学家在报告婴儿猝死时所使用的术语是否一致应用。
邮政调查。
收到了63位对婴儿猝死进行尸检的病理学家的回复。他们对“婴儿猝死综合征”和“未明确死因”这两个术语的使用存在显著差异,“未明确死因”这一术语不仅在存在明显可疑特征时使用,在其他各种情况下也会使用。对于“婴儿猝死综合征”这一术语是否仍有用处,存在不同意见。同床睡眠时发生的死亡被以几种不同方式分类。许多病理学家评论了他们在撰写报告时所获得病史的不充分性。
迫切需要病理学家在报告婴儿猝死的方式上更加一致。在进行尸检前,应向病理学家提供完整的病史。