Huang Ping, Yu Rongjun, Li Shiying, Qin Zhiqiang, Liu Ningguo, Zhang Jianhua, Zou Donghua, Chen Yijiu
Department of Forensic Pathology, Institute of Forensic Science, Ministry of Justice, 1347 West Guangfu Road, Shanghai, 200063, People's Republic of China.
Forensic Sci Med Pathol. 2013 Jun;9(2):225-30. doi: 10.1007/s12024-013-9429-3. Epub 2013 Mar 24.
Sudden infant death syndrome (SIDS) is a major contributor to infant mortality. The cause of death is unknown: suggested possibilities include cardiovascular disease, anaphylactic shock, and suffocation. The occurrence of simultaneous sudden infant death syndrome is uncommon, such cases being extremely rare in forensic pathologic practice. We report two 10-week-old male twins who appeared well at the time of their evening feeding, yet died while sleeping on their backs. Both infants had petechial hemorrhages on the visceral pleura, epicardial surface of the heart, and thymus gland. Microscopic examination revealed pulmonary edema, intra-alveolar hemorrhage, and minor lymphocytic infiltration, again in both infants. In this report, we discuss the risk factors for SIDS, which should be considered individually or in combination as possible causes of death.
婴儿猝死综合征（SIDS）是婴儿死亡的主要原因之一。死因不明：可能的原因包括心血管疾病、过敏性休克和窒息。同时发生婴儿猝死综合征的情况并不常见，这种病例在法医病理学实践中极为罕见。我们报告了两名10周大的男性双胞胎，他们在夜间喂食时看起来状态良好，但在仰卧睡觉时死亡。两名婴儿的脏层胸膜、心脏的心外膜表面和胸腺均有瘀点性出血。显微镜检查显示两名婴儿均有肺水肿、肺泡内出血和轻度淋巴细胞浸润。在本报告中，我们讨论了婴儿猝死综合征的危险因素，这些因素应单独或综合考虑，作为可能的死因。
