Veelken N, Ziegelitz J, Knispel J D, Bentele K H
Department of Pediatrics, University Hospital, Hamburg, Germany.
Acta Paediatr Scand. 1991 Jan;80(1):86-92. doi: 10.1111/j.1651-2227.1991.tb11735.x.
A retrospective analysis was carried out of 150 SIDS cases seen in the five year period between 1979 and 1983 in Hamburg, Germany. The overall incidence was 2.3 per 1,000 live births. 82% of all infants and 100% of the preterm infants (corrected according to gestational age) dying of SIDS, died within the first 6 months of life. Infants of mothers less than 18 years of age, infants with more than 2 siblings, infants with birthweight less than 1,500 g and SGA-preterm infants were found to be high-risk subgroups. A high percentage (20% of all cases, 43% of infants with mothers less than 18 years) were underweight at death (under the 3rd weight-percentile). The study emphasizes the complexity of internal and external factors in the etiology of SIDS.
对1979年至1983年五年间在德国汉堡所见的150例婴儿猝死综合征(SIDS)病例进行了回顾性分析。总发病率为每1000例活产中有2.3例。所有死于SIDS的婴儿中有82%以及所有早产婴儿(根据胎龄校正)中有100%在出生后的前6个月内死亡。母亲年龄小于18岁的婴儿、有两个以上兄弟姐妹的婴儿、出生体重小于1500克的婴儿以及小于胎龄的早产婴儿被发现是高危亚组。高比例(占所有病例的20%,母亲年龄小于18岁的婴儿中的43%)在死亡时体重不足(低于第3体重百分位数)。该研究强调了SIDS病因中内部和外部因素的复杂性。