Norman M G, Taylor G P, Clarke L A
Department of Pathology, British Columbia's Children's Hospital Vancouver, Canada.
Pediatr Pathol. 1990;10(5):769-84. doi: 10.3109/15513819009064711.
One thousand nine hundred and fifty four autopsies performed at British Columbia's Children's Hospital during a 7-year period were reviewed to determine the causes of sudden unexpected natural death in the age group from birth to 17 years. Of the 126 cases found, the largest group, 86 cases, was sudden infant death syndrome (SIDS). Nine deaths were the result of infection: 4 cases of H. influenza meningitis, 2 cases of meningococcemia, 2 cases of acute epiglottitis, and 1 case of necrotizing tracheobronchitis. Epilepsy, ruptured AV malformations, and brain tumors combined to make up an equally large group of 9 cases. Cardiac lesions were the third largest group, 6 cases. The three groups that posed the most difficulty in assigning a cause of death were (a) the group that were like SIDS yet had other confounding features, (b) the group in which metabolic death was suspected but not proven, and (c) death in epilepsy.
对不列颠哥伦比亚省儿童医院在7年期间进行的1954例尸检进行了回顾，以确定出生至17岁年龄组中自然性意外猝死的原因。在发现的126例病例中，最大的一组，即86例，为婴儿猝死综合征（SIDS）。9例死亡是感染所致：4例流感嗜血杆菌脑膜炎、2例脑膜炎球菌血症、2例急性会厌炎和1例坏死性气管支气管炎。癫痫、动静脉畸形破裂和脑肿瘤加起来构成了同样多的一组，共9例。心脏病变是第三大组，有6例。在确定死因时最困难的三组情况是：（a）类似SIDS但有其他混杂特征的一组；（b）怀疑为代谢性死亡但未得到证实的一组；（c）癫痫死亡。
