McFarlin Anna
Combined Emergency Medicine-Pediatrics Residency, Children's Hospital of New Orleans, Louisiana State University Health Science Center, 200 Henry Clay Avenue, New Orleans, LA 70118, USA.
Emerg Med Clin North Am. 2018 May;36(2):335-347. doi: 10.1016/j.emc.2017.12.001. Epub 2018 Feb 10.
The term "brief resolved unexplained event" was created to replace "apparent life-threatening event," narrowing the definition and providing evidence-based guidelines for management. The emphasis is placed on using clinical clues to classify patients as low risk or exclude them from the categorization altogether. Infants who meet low-risk classification can be briefly observed in the emergency department and be discharged home. Infants who demonstrate elements suggestive of a specific etiology should be evaluated and treated accordingly. Patients who demonstrate no specific findings yet who are high risk should be evaluated for the most common etiologies of apneic events and be admitted.
“短暂性不明原因 resolved 事件”这一术语是为取代“明显危及生命事件”而创建的，它缩小了定义范围，并为管理提供了基于证据的指南。重点在于利用临床线索将患者分类为低风险或完全将其排除在该分类之外。符合低风险分类的婴儿可在急诊科进行短暂观察后出院回家。表现出提示特定病因要素的婴儿应进行相应评估和治疗。没有特定发现但属于高风险的患者应评估呼吸暂停事件的最常见病因并住院治疗。
