Arane Karen, Claudius Ilene, Goldman Ran D
Can Fam Physician. 2017 Jan;63(1):39-41.
For many years, the term apparent life-threatening event (ALTE) was associated with sudden infant death syndrome, and parents who described an acute event in their infants were sent to the hospital for admission. I understand that for infants new terminology is recommended. What is the current approach to a near-death experience of an infant?
A recent clinical practice guideline revised the name and definition of an ALTE to a brief resolved unexplained event (BRUE). The diagnosis of BRUE in infants younger than 1 year of age is made when infants experience 1 of the following BRUE symptoms: a brief episode (ie, less than 1 minute and usually less than 20 to 30 seconds) that is entirely resolved (infant is at baseline), which remains unexplained after the history and physical examination are completed, and includes an event characterized by cyanosis or pallor; absent, decreased, or irregular breathing; hypertonia or hypotonia; or altered responsiveness. Low-risk infants should not be admitted to the hospital and overtesting is discouraged.
多年来，明显危及生命事件（ALTE）这一术语一直与婴儿猝死综合征相关联，那些描述其婴儿发生急性事件的家长都会被送往医院住院。我了解对于婴儿有了新的术语推荐。目前对于婴儿濒死体验的处理方法是什么？
最近的一项临床实践指南将ALTE的名称和定义修订为短暂性不明原因事件（BRUE）。当1岁以下婴儿出现以下BRUE症状之一时，可诊断为BRUE：一次短暂发作（即少于1分钟，通常少于20至30秒）且完全缓解（婴儿恢复至基线状态），在完成病史询问和体格检查后仍无法解释，且包括以发绀或苍白、呼吸停止、呼吸减弱或不规则、肌张力亢进或减退、或反应性改变为特征的事件。低风险婴儿不应住院，不鼓励过度检查。
