Sleep Breathing Disorders and SIDS Center, Meyer Children's Hospital, Firenze, Italy.
Department of Perinatal Medicine, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, Trieste, Italy.
Ital J Pediatr. 2017 Dec 12;43(1):111. doi: 10.1186/s13052-017-0429-x.
Five years after the first edition, we have revised and updated the guidelines, re-examining the queries and relative recommendations, expanding the issues addressed with the introduction of a new entity, recently proposed by the American Academy of Pediatrics: BRUE, an acronym for Brief Resolved Unexplained Events. In this manuscript we will use the term BRUE only to refer to mild, idiopathic cases rather than simply replace the acronym ALTE per se.In our guidelines the acronym ALTE is used for severe cases that are unexplainable after the first and second level examinations.Although the term ALTE can be used to describe the common symptoms at the onset, whenever the aetiology is ascertained, the final diagnosis may be better specified as seizures, gastroesophageal reflux, infection, arrhythmia, etc. Lastly, we have addressed the emerging problem of the so-called Sudden Unexpected Postnatal Collapse (SUPC), that might be considered as a severe ALTE occurring in the first week of life.
第一版发布五年后，我们对指南进行了修订和更新，重新检查了查询和相关建议，通过引入美国儿科学会最近提出的一个新实体 BRUE（Brief Resolved Unexplained Events 的缩写）来扩展所涉及的问题。在本手稿中，我们将仅使用 BRUE 一词来指代轻度、特发性病例，而不是简单地替代 ALTE 本身的缩写。在我们的指南中，ALTE 用于描述在第一和第二级检查后仍无法解释的严重病例。尽管术语 ALTE 可用于描述发病时的常见症状，但只要病因确定，最终诊断可能更好地指定为癫痫发作、胃食管反流、感染、心律失常等。最后，我们还解决了所谓的新生儿突发意外性呼吸暂停（SUPC）这一新兴问题，该问题可能被视为生命最初一周发生的严重 ALTE。
