McIntosh Christine G, Mitchell Edwin A
Pediatr Ann. 2017 Aug 1;46(8):e278-e283. doi: 10.3928/19382359-20170719-01.
Sudden unexpected infant death (SUID) is the leading cause for post-neonatal mortality in industrialized nations. Case-control studies have identified risk factors for SUID that have shaped research into studies of causation. Most current hypotheses for the mechanisms for SUID contribute to the "SUID sequence"-hypoxia and/or hypercarbia in sleep to which a vulnerable infant fails to respond adequately and that results in death. Reducing vulnerability in infants and promoting safe sleep for infants is important for prevention and requires knowledge of the prevalence of risk factors within the target population and a culturally sensitive approach. [Pediatr Ann. 2017;46(8):e278-e283.].
婴儿猝死综合征(SUID)是工业化国家新生儿后期死亡的主要原因。病例对照研究已经确定了SUID的风险因素,这些因素影响了对病因的研究。目前关于SUID机制的大多数假说都指向“SUID序列”——睡眠中的低氧血症和/或高碳酸血症,脆弱的婴儿对此无法做出充分反应,最终导致死亡。降低婴儿的脆弱性并促进婴儿安全睡眠对于预防至关重要,这需要了解目标人群中风险因素的流行情况,并采取具有文化敏感性的方法。[《儿科年鉴》。2017年;46(8):e278-e283。]