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被忽视的疾病还是诊断垃圾桶?英国背景下的婴儿猝死综合征

Ignored Disease or Diagnostic Dustbin? Sudden Infant Death Syndrome in the British Context.

作者信息

Ferguson Angus H

出版信息

Soc Hist Med. 2015 Aug;28(3):487-508. doi: 10.1093/shm/hkv003.

Abstract

Sudden Infant Death Syndrome (SIDS) was defined in 1969 and incorporated into the International Classification of Diseases a decade later. To advocates of SIDS as a diagnosis, medical interest in sudden infant death was long overdue. However, the definition of SIDS lacked positive diagnostic criteria, provoking some to view it as a 'diagnostic dustbin' for the disposal of problematic cases where cause of death was unclear. This paper examines the development of medical interest in sudden infant death in Britain during the middle decades of the twentieth century. It highlights the importance of recognising the historicity of SIDS as a diagnosis facilitated by changes in law and medicine over the course of the nineteenth and twentieth centuries. It suggests that SIDS provides a definitive case study of the medicalisation of life and death, and a unique example of an officially recognised disease that had no symptoms, signs, pathology or patients.

摘要

婴儿猝死综合征(SIDS)于1969年被定义,并在十年后被纳入《国际疾病分类》。对于将SIDS作为一种诊断的倡导者来说,医学界对婴儿猝死的关注早就应该有了。然而,SIDS的定义缺乏积极的诊断标准,这使得一些人将其视为一个“诊断垃圾桶”,用于处理死因不明的疑难病例。本文考察了20世纪中叶英国医学界对婴儿猝死关注的发展情况。它强调了认识到SIDS作为一种诊断的历史性的重要性,这一历史性是由19世纪和20世纪法律与医学的变化所促成的。它表明,SIDS提供了一个关于生死医学化的明确案例研究,以及一个官方认可的、没有症状、体征、病理学表现或患者的疾病的独特例子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb9/4513887/7c37784dcba4/hkv00301.jpg

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