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[婴儿猝死中的复苏措施与胸腺瘀点性出血]

[Resuscitation measures and petechial thymus hemorrhages in sudden infant death].

作者信息

Risse M, Weiler G

机构信息

Institut für Rechtsmedizin, Universitätsklinikum Essen-GHS, Bundesrepublik Deutschland.

出版信息

Z Rechtsmed. 1990;103(3):207-12. doi: 10.1007/BF00207342.

Abstract

In 45 cases of sudden infant death syndrome (SIDS) in which unsuccessful attempts at resuscitation had been made and in 21 cases without attempted resuscitation, systematic histological investigations were carried out on the thymus. In these investigations, petechial hemorrhages were detected in 82% of the cases with attempted resuscitation and in 76% of the cases without attempted resuscitation. The histological distribution pattern of the petechial thymus hemorrhages did not differ notably between the two groups. The pattern of findings indicates that the hemorrhages had already developed during the death agony and that the typical histological distribution pattern with an increased occurrence of petechial in the cortical zone was altered by massive attempts at resuscitation in individual cases.

摘要

对45例婴儿猝死综合征(SIDS)病例进行了系统的胸腺组织学研究,这些病例复苏尝试未成功,另有21例未进行复苏尝试。在这些研究中,进行复苏尝试的病例中有82%检测到点状出血,未进行复苏尝试的病例中有76%检测到点状出血。两组之间胸腺点状出血的组织学分布模式没有显著差异。研究结果表明,出血在濒死期就已发生,个别病例中大量的复苏尝试改变了皮质区点状出血发生率增加的典型组织学分布模式。

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