Talvik Inga, Alexander Randell C, Talvik Tiina
Children's Clinic of Tartu University Hospital, Tartu, Estonia.
Acta Paediatr. 2008 Jun;97(6):782-5. doi: 10.1111/j.1651-2227.2008.00778.x. Epub 2008 Apr 7.
The aim of this study was to investigate the relationship between crying of an infant and inflicted head injury by shaking and/or impact. During the period between January 1, 1997 and December 31, 2003, 26 cases of shaken baby syndrome (SBS) were identified in Estonia. The incidence of SBS was 28.7 per 100,000 children under 1 year of age during the whole study period. In this group there were four children from twin pairs: two twin boys and a girl from a twin pair and a boy from another twin pair. This represents 15.4% of the 26 cases. Twins in Estonia represent 2.12% of infant births. The mean age on admission was 3.9 months. According to outpatient records almost all parents (88.5%) in the study group (23/26) had contacted their family physicians and other specialists because of excessive crying or irritability of the baby prior to the admission to the hospital with SBS or death. We found that the time curve of crying was similar to the curve of highest incidence of cases of SBS except the crying curve began earlier. CONCLUSION. Our data confirm that the families with twins are at additional risk for SBS and parent's complaints of excessive crying of their infants should be taken as signal that parents need to be carefully counselled.
本研究的目的是调查婴儿哭闹与摇晃和/或撞击所致头部损伤之间的关系。在1997年1月1日至2003年12月31日期间，爱沙尼亚共确诊26例摇晃婴儿综合征（SBS）。在整个研究期间，SBS的发病率为每10万名1岁以下儿童中有28.7例。该组中有4名来自双胞胎的儿童：一对双胞胎男孩、一对双胞胎中的一个女孩以及另一对双胞胎中的一个男孩。这占26例病例的15.4%。爱沙尼亚的双胞胎占婴儿出生数的2.12%。入院时的平均年龄为3.9个月。根据门诊记录，在研究组（23/26）中，几乎所有父母（88.5%）在因SBS入院或婴儿死亡之前，都曾因婴儿过度哭闹或易怒而联系过他们的家庭医生和其他专科医生。我们发现，哭闹的时间曲线与SBS病例的最高发病率曲线相似，只是哭闹曲线开始得更早。结论。我们的数据证实，双胞胎家庭患SBS的风险更高，父母对婴儿过度哭闹的抱怨应被视为需要对父母进行仔细咨询的信号。
